Organization Active NPI

Serenity of Mind

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1699206235
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY OF MIND
Practice address
863 Ashton Cove Ter
Jacksonville, FL 32218-3796
Phone
(904) 751-1076
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Beatrice N Yuma
Title
President
Phone
(904) 751-1076

Specialties & licenses 1

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

Addresses

Primary practice location

863 Ashton Cove Ter
Jacksonville, FL 32218-3796

Mailing address

863 Ashton Cove Ter
Jacksonville, FL 32218-3796
Phone (904) 751-1076

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1699206235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 ASHTON COVE TER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183796",
            "telephone_number": "904-751-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 ASHTON COVE TER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183796",
            "telephone_number": "904-751-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY OF MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "YUMA",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-751-1076"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Mar 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.