Shopjveon LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHOPJVEON LLC

Practice address

15402 Hidden Foal Drive
Jacksonville, FL 32234

Phone

(904) 415-7664

NPI assigned

Dec 10, 2018

Organization subpart

Yes

Parent organization

SHOPJVEON LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jayveon M Peterson

Title

Owner

Phone

(904) 415-7664

Specialties & licenses 1

Addresses

Part of

Shopjveon LLC

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1467923946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143052",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32614",
            "telephone_number": "904-415-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15402 HIDDEN FOAL DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32234",
            "telephone_number": "904-415-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOPJVEON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHOPJVEON LLC",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JAYVEON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-415-7664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James David Shore, D.C.
• Carol Getker Shores, MD
• Ryan Thomas Shores, CRNA
• Elisabeth Ochs Shorstein, MSW, LCSW

• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.