Chandelier Status Healthcare Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CHANDELIER STATUS HEALTHCARE SERVICES LLC

Practice address

8603 Darlington Dr
Jacksonville, FL 32208-1838

Phone

(904) 274-3625

Fax

(904) 634-5612

NPI assigned

May 14, 2021

Last updated

May 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ciera Leshay Richardson, CNANPI 1164902029

Title

Owner

Phone

(352) 875-4353

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ciera Leshay Richardson, CNA

  • Home Health Aide
  • Jacksonville, FL
  • NPI 1164902029
  NPD Authorized official

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1710551726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 DARLINGTON DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081838",
            "telephone_number": "904-274-3625",
            "fax_number": "904-634-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 DARLINGTON DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081838",
            "telephone_number": "904-274-3625",
            "fax_number": "904-634-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDELIER STATUS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CIERA",
        "authorized_official_middle_name": "LESHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-875-4353",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Christian Chanatry, D.C
• Chanatrydc, LLC (Chanatry Chiropractic)
• Sara E Chance, PA-C
• Brittany Elizabeth Chancey
• Brooke Nichelle Chancey, PT, DPT, MS
• Chandler Support Services, Inc.
• Anniqua Chandler
• Dianne Chandler, PHARM D
• Isaisha Chandler
• Jerry Wayne Chandler II, D.O.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.