NPIMap

Organization Active NPI

Jmax Support Services, LLC

Doing business as Champ's Knockout D.M.E Service

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1912284779
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JMAX SUPPORT SERVICES, LLC
Doing business as
Champ's Knockout D.M.E Service
Practice address
2213 W 14TH St
Jacksonville, FL 32209-4603
Phone
(904) 210-6651
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Ms. Serina Maxwell
Title
Owner
Phone
(904) 210-6651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2213 W 14TH St
Jacksonville, FL 32209-4603

Mailing address

2213 W 14TH St
Jacksonville, FL 32209-4603

Other names 1

  • Champ's Knockout D.M.E Service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1912284779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 W 14TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 W 14TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094603",
            "telephone_number": "904-210-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMAX SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "SERINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-210-6651",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champ's Knockout D.M.E Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 29, 2011; 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.