Active NPI
Serenity of Mind
- In Home Supportive Care Agency
- Jacksonville, FL
National Provider Identifier
1699206235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.