Active NPI
Ashanti Janea Thomas
- Adult Companion
- Jacksonville, FL
National Provider Identifier
1609474865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 237006
- Practice address
- 4320 Sunbeam Rd Apt 315
Jacksonville, FL 32257-8829 - Phone
- (904) 236-2328
- NPI assigned
- Oct 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Homemaker | 376J00000X | 237006 | FL | |
| Adult Companion | 372600000X | 237006 | FL | Primary |
Addresses
Primary practice location
4320 Sunbeam Rd Apt 315
Jacksonville, FL 32257-8829
Mailing address
4320 Sunbeam Rd Apt 315
Jacksonville, FL 32257-8829
Phone (904) 236-2328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108121000 | Medicaid | FL |
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 |
|---|---|---|---|
| 237006 | FL | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Homecare LLC | Adult Companion | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602288000000",
"number": "1609474865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 SUNBEAM RD APT 315",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578829",
"telephone_number": "904-236-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 SUNBEAM RD APT 315",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578829",
"telephone_number": "904-236-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ASHANTI",
"middle_name": "JANEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-10",
"last_updated": "2020-10-10",
"certification_date": "2020-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "237006",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "237006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108121000",
"state": "FL"
}
],
"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 Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.