Organization Active NPI

Senior Gentle Care Services LLC

  • Home Health Agency
  • Deland, FL
National Provider Identifier
1750036257
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENIOR GENTLE CARE SERVICES LLC
Practice address
407 W Hubbard Ave
Deland, FL 32720-6810
Phone
(407) 288-3989
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Vaness Jackson
Title
Owner
Phone
(407) 288-3989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

407 W Hubbard Ave
Deland, FL 32720-6810

Mailing address

348 Willowbay Ridge St
Sanford, FL 32771-6740
Phone (407) 288-3989

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1750036257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 WILLOWBAY RIDGE ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716740",
            "telephone_number": "407-288-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W HUBBARD AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206810",
            "telephone_number": "407-288-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR GENTLE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VANESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-288-3989"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.