Organization Active NPI

Illuminate Church of the Sacred Jewels

  • Attendant Care Provider
  • Jacksonville, FL
National Provider Identifier
1669319067
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
ILLUMINATE CHURCH OF THE SACRED JEWELS
Practice address
1339 Cesery Ter # a
Jacksonville, FL 32211-5324
Phone
(904) 270-9191
NPI assigned
May 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Authorized official

Name
Gregory McCall, MCCALL
Title
Overseer
Phone
(904) 270-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

1339 Cesery Ter # a
Jacksonville, FL 32211-5324

Mailing address

10700 Beach Blvd Unit 17465
Jacksonville, FL 32245-8059
Phone (904) 270-9191

National Provider Directory

National Provider Directory

Locations

10700 Beach Blvd
Unit 17465
Jacksonville, FL 32245

1339 Cesery Ter
#A
Jacksonville, FL 32211
Phone (904) 270-9191

NPI Registry JSON

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

{
    "created_epoch": "1777680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777680000000",
    "number": "1669319067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 BEACH BLVD UNIT 17465",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322458059",
            "telephone_number": "904-270-9191",
            "fax_number": "904-270-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 CESERY TER # A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115324",
            "telephone_number": "904-270-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE CHURCH OF THE SACRED JEWELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-02",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OVERSEER",
        "authorized_official_telephone_number": "904-270-9191",
        "authorized_official_credential": "MCCALL"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "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 May 2, 2026; 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.