A Heart Full of Blessings

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

A HEART FULL OF BLESSINGS

Practice address

2051 W 45TH St
Jacksonville, FL 32209-3047

Phone

(904) 469-9912

NPI assigned

Mar 9, 2023

Organization subpart

No

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

Authorized official

Name

Shericka Rose PhelpsNPI 1255031035

Title

Caregiver

Phone

(904) 469-9912

Specialties & licenses 1

Addresses

Other names 1

• A HEART FULL OF BLESSINGS Former legal business name

Practitioners 1

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

• Shericka Rose Phelps

  • Homemaker
  • Jacksonville, FL
  • NPI 1255031035
  NPD Authorized official

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1649970435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 W 45TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322093047",
            "telephone_number": "904-469-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 W 45TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322093047",
            "telephone_number": "904-469-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEART FULL OF BLESSINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "SHERICKA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "904-469-9912"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A HEART FULL OF BLESSINGS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Jacksonville, FL
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.