Jackson County Senior Citizens, Inc.

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

JACKSON COUNTY SENIOR CITIZENS, INC.

Practice address

5400 Cliff St
Graceville, FL 32440-1732

Phone

(850) 263-4650

Fax

(850) 263-4136

NPI assigned

Jun 26, 2007

Last updated

Dec 11, 2024By 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

Carolyn D Rhynes

Title

Executive Director

Phone

(850) 263-4650

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1609072644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CLIFF ST",
            "city": "GRACEVILLE",
            "state": "FL",
            "postal_code": "324401732",
            "telephone_number": "850-263-4650",
            "fax_number": "850-263-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CLIFF ST",
            "city": "GRACEVILLE",
            "state": "FL",
            "postal_code": "324401732",
            "telephone_number": "850-263-4650",
            "fax_number": "850-263-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY SENIOR CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "RHYNES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-263-4650"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023874500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Graceville, FL
• Providers in Graceville, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.