Active NPI
Errica Jamil
- Home Health Aide
- Maitland, FL
National Provider Identifier
1558739243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 3460
- Practice address
- 903 Lake Lily Dr
B305
Maitland, FL 32751-7603 - Phone
- (321) 279-0160
- NPI assigned
- Sep 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 3460 | FL | Primary |
Addresses
Primary practice location
903 Lake Lily Dr
B305
Maitland, FL 32751-7603
Mailing address
903 Lake Lily Dr
B305
Maitland, FL 32751-7603
Phone (321) 279-0160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3460 | Other | FL | HOME HEALTH AIDE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3460 | FL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1558739243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 LAKE LILY DR",
"address_2": "B305",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517603",
"telephone_number": "321-279-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 LAKE LILY DR",
"address_2": "B305",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517603",
"telephone_number": "321-279-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMIL",
"first_name": "ERRICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "3460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AIDE",
"identifier": "3460",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.