Favored Support Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAVORED SUPPORT SERVICES LLC

Practice address

8970 103Rd St Ste 9
Jacksonville, FL 32210-8689

Phone

(904) 374-6280

NPI assigned

Feb 27, 2024

Organization subpart

No

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

Authorized official

Name

Tiearra Dickens

Title

Ceo

Phone

(904) 374-6280

Specialties & licenses 4

Addresses

Tax ID family

Favored Support 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.

• Favored Support Services LLC

  • Homemaker
  • Jacksonville, FL
  • NPI 1679352538
  NPD tax ID

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1902662901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 103RD ST STE 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108689",
            "telephone_number": "904-374-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 103RD ST STE 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108689",
            "telephone_number": "904-374-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVORED SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "TIEARRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-374-6280"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Dacanay Faustino, FNP-BC
• Scott T Fauth, M.D.
• Anthony Frank Favale II, OD
• Favor Love and Care Inc
• Favored Support Services LLC
• Fawaz M Ashouri
• Melinda Wheeley Fawbush, MSN, ARNP
• Jontal Fawcett
• Mason Fawcett
• Charles Robinson Fawsett II

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.