Teekares Home Care Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

TEEKARES HOME CARE SERVICES LLC

Practice address

2864 Selawick LN
Jacksonville, FL 32218-2347

Phone

(904) 704-1117

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Sederia Tyson

Title

Owner

Phone

(904) 704-1117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1457034043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 SELAWICK LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182347",
            "telephone_number": "904-704-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 SELAWICK LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182347",
            "telephone_number": "904-704-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEKARES HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "SEDERIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-704-1117",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Team Williams Limited Liability Company
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• Renee Marie Tebon, PA-C
• Angelito B Tecson, MD
• Lauren Kristi Teele, CRNA
• Samantha Rose Teeter, PA-C
• Stephen Teeters, D.C.
• Melissa Quinn Teferra, LCSW
• Allison Teger, LMHC

• Developmentally Disabled Services Day Training Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.