NPIMap

Organization Active NPI

Ijn Home Care Services

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1932503059
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
232906 Issued in FL
Legal business name
IJN HOME CARE SERVICES
Practice address
348 Saint Johns Forest Blvd
Jacksonville, FL 32259-7018
Phone
(904) 705-9785
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Mrs. Towanda Jackson Young
Title
Owner
Phone
(904) 705-9785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 232906 FL Primary

Addresses

Primary practice location

348 Saint Johns Forest Blvd
Jacksonville, FL 32259-7018

Mailing address

348 Saint Johns Forest Blvd
Jacksonville, FL 32259-7018
Phone (904) 705-9785

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1932503059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 SAINT JOHNS FOREST BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597018",
            "telephone_number": "904-705-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 SAINT JOHNS FOREST BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597018",
            "telephone_number": "904-705-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJN HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TOWANDA",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-705-9785",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "232906",
            "primary": true
        }
    ],
    "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 Oct 17, 2014; 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.