Keiarra Hendrick

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

250 Cherry Ridge Dr Apt 1021
Jacksonville, FL 32222

Phone

(904) 412-1904

NPI assigned

May 7, 2018

Last updated

Jul 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Always There Care Corp

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1477046241

  In Home Supportive Care

  NPD Authorized official

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1851880793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHERRY RIDGE DR APT 1021",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222868",
            "telephone_number": "904-412-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHERRY RIDGE DR APT 1021",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32222",
            "telephone_number": "904-412-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "KEIARRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Nicole Henderson, ARNP
• Randal Hollis Henderson, MD
• Skylar Henderson
• Kathryn M Hendley, MS-CCC-SLP
• Nathaniel Hendley
• Hendricks Dental Studio, PA
• Alissa D Hendricks-Wenger, DO, PHD
• Whitney Alexander Hendricks, LMHC
• Jaia Hendrickson, RBT
• Amber Noel Hendrix, RBT

• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.