Simon Companion and Homemaking

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

020088900 Issued in FL

Legal business name

SIMON COMPANION AND HOMEMAKING

Practice address

12458 Condor Dr
Jacksonville, FL 32223-3711

Phone

(904) 508-2687

Fax

(904) 374-5457

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Latrall SimonNPI 1679017206

Title

Owner/Operator

Phone

(904) 508-2687

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latrall Simon

  • Home Health Aide
  • Jacksonville, FL
  • NPI 1679017206
  NPD (past) Authorized official

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1730699893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12458 CONDOR DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322233711",
            "telephone_number": "904-508-2687",
            "fax_number": "904-374-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12458 CONDOR DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322233711",
            "telephone_number": "904-508-2687",
            "fax_number": "904-374-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON COMPANION AND HOMEMAKING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "LATRALL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "904-508-2687"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "020088900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001477397",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shantel Nicole Simmons
• Twangemeka L Simmons
• Catherine Simms, CRNA, ARNP
• Catherine Baker Simms, PHD, BCBA-D
• Erykah Nasira Simo
• Latanya Rene Simon-Chappell, RPH
• Annlisa Simon, DO
• Ebony Lucille Simon
• Joshini E Simon, DO
• Latrall Simon

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.