Have Faith Support Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HAVE FAITH SUPPORT SERVICES

Practice address

112 Lane Ave S # 5
Jacksonville, FL 32254-3524

Phone

(904) 382-9826

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Marinesa Poke

Title

President

Phone

(904) 482-9826

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1386044337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2276 CHEROKEE COVE TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214906",
            "telephone_number": "904-382-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LANE AVE S # 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543524",
            "telephone_number": "904-382-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVE FAITH SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "POKE",
        "authorized_official_first_name": "MARINESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-482-9826"
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002176300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Noel Hausdorf
• Edwin Hauser, PA
• Michael Jeremy Hauser, PHARM.D.
• Alyse Hausman, PT, DPT
• Yajaira Hausman
• Haven Home Care Inc
• Havenrise Academy Holdings, LLC
• Havenrise Academy of Jacksonville, LLC
• Tammy Havey
• David Hawkins, PHD

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.