Jci Family Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

BU0006403 Issued in FL

Legal business name

JCI FAMILY CORPORATION

Doing business as

Homewell Senior Care

Practice address

1560 Randolph St
Deltona, FL 32725-8439

Phone

(407) 298-9612

Fax

(386) 259-4065

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Islande Stuppard

Title

Care Manager

Phone

(407) 298-9612

Specialties & licenses 1

Addresses

Other names 1

• Homewell Senior Care Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1568514826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5334",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327285334",
            "telephone_number": "407-298-9612",
            "fax_number": "386-259-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 RANDOLPH ST",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258439",
            "telephone_number": "407-298-9612",
            "fax_number": "386-259-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCI FAMILY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "STUPPARD",
        "authorized_official_first_name": "ISLANDE",
        "authorized_official_title_or_position": "CARE MANAGER",
        "authorized_official_telephone_number": "407-298-9612",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "BU0006403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewell Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Deltona, FL
• Providers in Deltona, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.