Organization Active NPI

J-Blessed, Inc

  • In Home Supportive Care Agency
  • Wildwood, FL
National Provider Identifier
1679833602
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
692949496 Issued in FL
Legal business name
J-BLESSED, INC
Practice address
700 2ND St
Wildwood, FL 34785-3338
Phone
(352) 748-3130
Fax
(352) 748-3130
NPI assigned
May 24, 2012
Last updated
May 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Pamala Bivins
Title
President
Phone
(352) 748-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 692949496 FL Primary

Addresses

Primary practice location

700 2ND St
Wildwood, FL 34785-3338

Mailing address

700 2ND St
Wildwood, FL 34785-3338
Phone (352) 748-3130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1679833602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 2ND ST",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347853338",
            "telephone_number": "352-748-3130",
            "fax_number": "352-748-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 2ND ST",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347853338",
            "telephone_number": "352-748-3130",
            "fax_number": "352-748-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-BLESSED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "BIVINS",
        "authorized_official_first_name": "PAMALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-748-3130"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "692949496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.