NPIMap

Organization Active NPI

Care Options Support Services, LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1619260775
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CARE OPTIONS SUPPORT SERVICES, LLC
Practice address
3206 De Carlo LN
Jacksonville, FL 32277-3538
Phone
(904) 504-5032
Fax
(904) 743-7518
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Mrs. Stephanie Arlene Cobb
Title
President
Phone
(904) 504-5032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3206 De Carlo LN
Jacksonville, FL 32277-3538

Mailing address

3206 De Carlo LN
Jacksonville, FL 32277-3538
Phone (904) 504-5032

Other identifiers 2

IdentifierTypeStateIssuer
690427196MedicaidFL
690427198MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1619260775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 DE CARLO LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773538",
            "telephone_number": "904-504-5032",
            "fax_number": "904-743-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 DE CARLO LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773538",
            "telephone_number": "904-504-5032",
            "fax_number": "904-743-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE OPTIONS SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-504-5032",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690427196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690427198",
            "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 May 24, 2011; 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.