Promise to Care Homemaker Companion Services LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

PROMISE TO CARE HOMEMAKER COMPANION SERVICES LLC

Practice address

7454 Smyrna St
Jacksonville, FL 32208-3347

Phone

(904) 333-7276

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Tanya HaywoodNPI 1639880214

Title

Owner/Operator

Phone

(904) 333-7276

Specialties & licenses 1

Addresses

Other names 1

• Promise To Care Homemaker Companion Services LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanya Haywood

  • Homemaker
  • Jacksonville, FL
  • NPI 1639880214
  NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1891540233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7454 SMYRNA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083347",
            "telephone_number": "904-333-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7454 SMYRNA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083347",
            "telephone_number": "904-333-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE TO CARE HOMEMAKER COMPANION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "904-333-7276"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise To Care Homemaker Companion Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Homemaker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.