Individual provider Active NPI

Juanita Martin

  • Home Health Aide
  • Orlando, FL
National Provider Identifier
1912659715
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2056 Issued in FL
Practice address
750 S Orange Blossom TRL Ste 41
Orlando, FL 32805-3138
Phone
(407) 801-2863
Fax
(407) 350-3185
NPI assigned
Jan 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 388 FL
Personal Care Attendant 3747P1801X 2056 FL
Home Health Aide 374U00000X 237499 FL
Homemaker 376J00000X 388 FL
Nurse's Aide 376K00000X 2056 FL
Home Health Aide 374U00000X 2056 FL Primary

Addresses

Primary practice location

750 S Orange Blossom TRL Ste 41
Orlando, FL 32805-3138

Mailing address

750 S Orange Blossom TRL Ste 41
Orlando, FL 32805-3138
Phone (407) 801-2863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
388FLMDAdult Companion
2056FLMDPersonal Care Attendant
237499FLMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Jam Healthcare Services, LLC Adult Companion Current Accepting new patients

Locations

750 S Orange Blossom Trl
Ste 41
Orlando, FL 32805
Phone (407) 431-5907

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1912659715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL STE 41",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053138",
            "telephone_number": "407-801-2863",
            "fax_number": "407-350-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL STE 41",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053138",
            "telephone_number": "407-801-2863",
            "fax_number": "407-350-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JUANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "388",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "2056",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "237499",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "388",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "2056",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; 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.