Organization Active NPI

Special Hearts Supports & Services,LLC

  • Home Health Aide
  • Jacksonville, FL
National Provider Identifier
1669900494
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
SPECIAL HEARTS SUPPORTS & SERVICES,LLC
Practice address
6316 San Juan Ave Ste 13
Jacksonville, FL 32210-2883
Phone
(904) 374-4577
NPI assigned
May 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Authorized official

Name
Jasmin ByersNPI 1649746009
Title
Owner
Phone
(904) 415-5906

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
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

6316 San Juan Ave Ste 13
Jacksonville, FL 32210-2883

Mailing address

6316 San Juan Ave Ste 13
Jacksonville, FL 32210-2883

National Provider Directory

National Provider Directory

Locations

6316 San Juan Ave
Ste 13
Jacksonville, FL 32210
Phone (904) 374-4577

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": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1669900494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 SAN JUAN AVE STE 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 SAN JUAN AVE STE 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102883",
            "telephone_number": "904-374-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL HEARTS SUPPORTS & SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-415-5906"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "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 24, 2017; 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.