NPIMap

Organization Active NPI

Compassionate Hearts Home Care Services LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1477985612
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
233056 Issued in FL
Legal business name
COMPASSIONATE HEARTS HOME CARE SERVICES LLC
Practice address
4651 Roanoke Blvd
Jacksonville, FL 32208-1126
Phone
(904) 554-9274
NPI assigned
Jul 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Ms. Anquan Lakeisha Wilson
Title
Owner
Phone
(904) 554-9274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 233056 FL Primary

Addresses

Primary practice location

4651 Roanoke Blvd
Jacksonville, FL 32208-1126

Mailing address

4651 Roanoke Blvd
Jacksonville, FL 32208-1126
Phone (904) 554-9274

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1477985612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 ROANOKE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081126",
            "telephone_number": "904-554-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 ROANOKE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081126",
            "telephone_number": "904-554-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE HEARTS HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANQUAN",
        "authorized_official_middle_name": "LAKEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-554-9274",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "233056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.