Organization Active NPI

Gentle Hearts Support & Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, FL
National Provider Identifier
1639043813
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GENTLE HEARTS SUPPORT & SERVICES LLC
Practice address
1100 Kings Rd Unit 40123
Jacksonville, FL 32203-7779
Phone
(904) 846-7575
NPI assigned
Oct 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Ebony BrownNPI 1073484671
Title
Owner
Phone
(904) 846-7575

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
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1100 Kings Rd Unit 40123
Jacksonville, FL 32203-7779

Mailing address

1100 Kings Rd Unit 40123
Jacksonville, FL 32203-7779
Phone (904) 846-7575

National Provider Directory

National Provider Directory

Locations

1100 Kings Rd
Unit 40123
Jacksonville, FL 32203
Phone (904) 846-7575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1639043813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 KINGS RD UNIT 40123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322037779",
            "telephone_number": "904-846-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 KINGS RD UNIT 40123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322037779",
            "telephone_number": "904-846-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE HEARTS SUPPORT & SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-846-7575"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "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 Oct 1, 2025; 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.