Active NPI
Surrounding With Care
- In Home Supportive Care Agency
- Jacksonville, FL
National Provider Identifier
1558034298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SURROUNDING WITH CARE
- Practice address
- 8664 Julia Marie Cir
Jacksonville, FL 32210-0416 - Phone
- (904) 762-3894
- NPI assigned
- Jul 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Desteira Hamilton
- Title
- Owner
- Phone
- (904) 762-3894
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
8664 Julia Marie Cir
Jacksonville, FL 32210-0416
Mailing address
8664 Julia Marie Cir
Jacksonville, FL 32210-0416
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COMPANION | Medicaid | FL | |
| HOMEMAKER | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627430400000",
"number": "1558034298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8664 JULIA MARIE CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322100416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8664 JULIA MARIE CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322100416",
"telephone_number": "904-762-3894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURROUNDING WITH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "DESTEIRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-762-3894"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "COMPANION",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HOMEMAKER",
"state": "FL"
}
],
"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 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.