Organization Active NPI

Noble Legacy Senior Companions LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1780517789
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NOBLE LEGACY SENIOR COMPANIONS LLC
Practice address
6680 Bennett Creek Dr Apt 728
Jacksonville, FL 32216-0030
Phone
(803) 629-6054
NPI assigned
Jun 8, 2026
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Jamie Lynn Cullen
Title
Owner
Phone
(803) 629-6054

Specialties & licenses 1

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

Addresses

Primary practice location

6680 Bennett Creek Dr Apt 728
Jacksonville, FL 32216-0030

Mailing address

6680 Bennett Creek Dr Apt 728
Jacksonville, FL 32216-0030
Phone (803) 629-6054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1780517789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 BENNETT CREEK DR APT 728",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160030",
            "telephone_number": "803-629-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6680 BENNETT CREEK DR APT 728",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160030",
            "telephone_number": "803-629-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE LEGACY SENIOR COMPANIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-629-6054"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Jun 8, 2026; 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.