Active NPI
Wholepath Community Services, Inc.
- Driver
- Jacksonville, FL
National Provider Identifier
1902729494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Legal business name
- WHOLEPATH COMMUNITY SERVICES, INC.
- Practice address
- 3416 Moncrief Rd Ste 200
Jacksonville, FL 32209-4340 - Phone
- (904) 659-7643
- NPI assigned
- Aug 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nia Beyah
- Title
- Ceo
- Phone
- (904) 254-0400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary | ||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
3416 Moncrief Rd Ste 200
Jacksonville, FL 32209-4340
Mailing address
10948 River Falls Dr
Jacksonville, FL 32219-5137
Phone (904) 659-7643
National Provider Directory
National Provider DirectoryLocations
3416 Moncrief Rd
Ste 200
Jacksonville, FL 32209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785542400000",
"number": "1902729494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10948 RIVER FALLS DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322195137",
"telephone_number": "904-659-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 MONCRIEF RD STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322094340",
"telephone_number": "904-659-7643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLEPATH COMMUNITY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-01",
"last_updated": "2026-08-01",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "BEYAH",
"authorized_official_first_name": "NIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-254-0400"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 1, 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.