Credible Homecare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CREDIBLE HOMECARE SERVICES, INC.

Practice address

12627 San Jose Blvd Ste 504E
Jacksonville, FL 32223-8641

Phone

(904) 523-4791

Fax

(904) 297-2670

NPI assigned

Feb 9, 2022

Organization subpart

No

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

Authorized official

Name

Antonine Alexis

Title

Administrator

Phone

(904) 523-4791

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1376297242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 504E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238641",
            "telephone_number": "904-523-4791",
            "fax_number": "904-297-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 504E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238641",
            "telephone_number": "904-523-4791",
            "fax_number": "904-297-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDIBLE HOMECARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "ANTONINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-523-4791"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.