Active NPI
Jazmin Serra
Doing business as Amazing Companions
- Home Health Agency
- Lake Mary, FL
National Provider Identifier
1376963561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- JAZMIN SERRA
- Doing business as
- Amazing Companions
- Practice address
- 160 International Pkwy Ste 100
Lake Mary, FL 32746-5057 - Phone
- (321) 775-5685
- Fax
- (407) 386-3056
- NPI assigned
- Apr 26, 2014
- Organization subpart
- Yes
- Parent organization
- AMAZING COMPANIONS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jazmin Serra, PHD
- Title
- Administrator
- Phone
- (321) 775-5685
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | 233395 | FL | |
| Developmental Disabilities Clinic/Center | 261QD1600X | 233395 | FL |
Addresses
Primary practice location
160 International Pkwy Ste 100
Lake Mary, FL 32746-5057
Mailing address
160 International Pkwy Ste 100
Lake Mary, FL 32746-5057
Phone (321) 775-5685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022390100 | Medicaid | FL |
Other names 1
- Amazing Companions
National Provider Directory
National Provider Directory- Tax ID family
- Jazmin Serra
- Part of
- Jazmin Serra
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Lake Mary, FL
- NPI 1013358423
Locations
160 International Pkwy
Ste 100
Lake Mary, FL 32746
Phone (321) 775-5685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550620800000",
"number": "1376963561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 INTERNATIONAL PKWY STE 100",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465057",
"telephone_number": "321-775-5685",
"fax_number": "407-650-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 INTERNATIONAL PKWY STE 100",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465057",
"telephone_number": "321-775-5685",
"fax_number": "407-386-3056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAZMIN SERRA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMAZING COMPANIONS",
"enumeration_date": "2014-04-26",
"last_updated": "2019-02-20",
"status": "A",
"authorized_official_last_name": "SERRA",
"authorized_official_first_name": "JAZMIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "321-775-5685",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "233395",
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "FL",
"license": "233395",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022390100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amazing Companions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.