Individual provider Active NPI

Jenica Pierre

  • Home Health Aide
  • Orlando, FL
National Provider Identifier
1366088049
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
5300 S Orange Ave
Orlando, FL 32809-3402
Phone
(407) 668-4468
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

5300 S Orange Ave
Orlando, FL 32809-3402

Mailing address

11310 S Orange Blossom TRL # 124
Orlando, FL 32837-9421
Phone (407) 668-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusive Employment and Living Solutions, LLC CurrentSince Feb 23, 2025 Accepting new patients
Mad Living Assistance Services, LLC PastSince Nov 24, 2019 Accepting new patients

Locations

5300 S Orange Ave
Orlando, FL 32809
Phone (407) 668-4468

11310 S Orange Blossom Trl
Orlando, FL 32837

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19005/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1366088049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 S ORANGE BLOSSOM TRL # 124",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379421",
            "telephone_number": "407-668-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093402",
            "telephone_number": "407-668-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "JENICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.