Organization Active NPI

Shatara's Passion Care,Inc

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1750564670
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
#230056 Issued in FL
Legal business name
SHATARA'S PASSION CARE,INC
Practice address
117 W 32ND St
Jacksonville, FL 32206-6424
Phone
(904) 400-5795
Fax
(904) 329-1376
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mrs. Toya Brown
Title
Director/Owner
Phone
(904) 400-5795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X #230056 FL Primary

Addresses

Primary practice location

117 W 32ND St
Jacksonville, FL 32206-6424

Mailing address

117 W 32ND St
Jacksonville, FL 32206-6424
Phone (904) 400-5795

National Provider Directory

National Provider Directory
Tax ID family
Shatara's Passion Careinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1750564670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 32ND ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066424",
            "telephone_number": "904-400-5795",
            "fax_number": "904-329-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 32ND ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066424",
            "telephone_number": "904-400-5795",
            "fax_number": "904-329-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHATARA'S PASSION CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TOYA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "904-400-5795",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "#230056",
            "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 Dec 13, 2007; 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.