Organization Active NPI

Special Hearts Supports & Services, LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1902260680
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
015352000 Issued in FL
Legal business name
SPECIAL HEARTS SUPPORTS & SERVICES, LLC
Practice address
4758 Playpen Dr
Jacksonville, FL 32210-1421
Phone
(904) 415-5906
Fax
(904) 212-2283
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Jasmin Byers
Title
Owner
Phone
(904) 415-5906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 015352000 FL Primary

Addresses

Primary practice location

4758 Playpen Dr
Jacksonville, FL 32210-1421

Mailing address

4758 Playpen Dr
Jacksonville, FL 32210-1421
Phone (904) 415-5906

National Provider Directory

National Provider Directory
Tax ID family
Special Hearts Supports Services LLC2 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": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1902260680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 PLAYPEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101421",
            "telephone_number": "904-415-5906",
            "fax_number": "904-212-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 PLAYPEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101421",
            "telephone_number": "904-415-5906",
            "fax_number": "904-212-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL HEARTS SUPPORTS & SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-415-5906"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "015352000",
            "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 Apr 8, 2016; 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.