Source Companion Serivce

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

SOURCE COMPANION SERIVCE

Practice address

9061 Western Way Unit 4
Jacksonville, FL 32256-0380

Phone

(904) 684-3336

NPI assigned

Jun 23, 2026

Last updated

Jun 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rande Harris

Title

Owner

Phone

(904) 684-3336

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1578499869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9061 WESTERN WAY UNIT 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560380",
            "telephone_number": "904-684-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9061 WESTERN WAY UNIT 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560380",
            "telephone_number": "904-684-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE COMPANION SERIVCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RANDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-684-3336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Jacksonville, FL
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• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.