Individual provider Active NPI

Stephanei Marie Howell

  • In Home Supportive Care Agency
  • Macclenny, FL
National Provider Identifier
1740816990
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
236424 Issued in FL
Practice address
132 W Stansell Ave
Macclenny, FL 32063-2056
Phone
(904) 402-1079
NPI assigned
Mar 19, 2020
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 236424 FL Primary

Addresses

Primary practice location

132 W Stansell Ave
Macclenny, FL 32063-2056

Mailing address

132 W Stansell Ave
Macclenny, FL 32063-2056
Phone (904) 402-1079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
236424FLMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
The Clair Winston House,LLC In Home Supportive Care CurrentSince Mar 29, 2020 Accepting new patients
The Clair Winston House,LLC CurrentSince Mar 22, 2020 Accepting new patients
Clair Winston Transportation, LLC Current Accepting new patients

Locations

132 W Stansell Ave
Macclenny, FL 32063
Phone (904) 402-1079

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1740816990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W STANSELL AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632056",
            "telephone_number": "904-402-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W STANSELL AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632056",
            "telephone_number": "904-402-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "STEPHANEI",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "236424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macclenny, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.