Organization Active NPI

Wholepath Community Services, Inc.

  • Driver
  • Jacksonville, FL
National Provider Identifier
1902729494
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
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

Updated by the provider on Aug 1, 2026

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)CodeLicenseStatePrimary
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 172A00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.