Active NPI
Felicia Mitchell
- In Home Supportive Care Agency
- Jacksonville, FL
National Provider Identifier
1760783773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FELICIA MITCHELL
- Doing business as
- DIVINE HOME SERVICES
- Practice address
- 4911 Seaboard CT
Jacksonville, FL 32210-7948 - Phone
- (904) 482-7879
- NPI assigned
- Nov 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Felicia Denese Mitchell
- Title
- Owner
- Phone
- (904) 476-4171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4911 Seaboard CT
Jacksonville, FL 32210-7948
Mailing address
4911 Seaboard CT
Jacksonville, FL 32210-7948
Phone (904) 482-7879
Other names 1
- DIVINE HOME SERVICES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289088000000",
"number": "1760783773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4911 SEABOARD CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322107948",
"telephone_number": "904-482-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4911 SEABOARD CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322107948",
"telephone_number": "904-482-7879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FELICIA MITCHELL",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-07",
"last_updated": "2010-11-07",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "FELICIA",
"authorized_official_middle_name": "DENESE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-476-4171",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DIVINE HOME SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.