Organization Active NPI

Wonderful Hands Care Services LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1578154209
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WONDERFUL HANDS CARE SERVICES LLC
Practice address
1150 W 32ND St
Jacksonville, FL 32209-4069
Phone
(904) 775-0187
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Katrina D Thomas, CAREGIVERNPI 1629732912
Title
Cna
Phone
(904) 775-0187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1150 W 32ND St
Jacksonville, FL 32209-4069

Mailing address

1150 W 32ND St
Jacksonville, FL 32209-4069
Phone (904) 775-0187

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1578154209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W 32ND ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094069",
            "telephone_number": "904-775-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W 32ND ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094069",
            "telephone_number": "904-775-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL HANDS CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "904-775-0187",
        "authorized_official_credential": "CAREGIVER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Jan 26, 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.

Verify at the official NPI Registry.