Amanda Murray-Hardeman

Primary specialty

HomemakerTaxonomy code 376J00000X

License

229302 Issued in FL

Practice address

7605 Lueders Ave
Jacksonville, FL 32208-3443

Phone

(904) 955-2588

Fax

(904) 766-1370

NPI assigned

Nov 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• L&L Divine Community Services Inc

  • In Home Supportive Care Agency
  • Jacksonville, FL
  • NPI 1003246968
  NPD (past) Authorized official

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1932539913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77253",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322267253",
            "telephone_number": "904-955-2588",
            "fax_number": "904-766-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 LUEDERS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083443",
            "telephone_number": "904-955-2588",
            "fax_number": "904-766-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY-HARDEMAN",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "229302",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "229302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689136596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Jean Murphy, LMT
• Sebastien Murphy, DDS
• Sharifa Murphy, LMT
• Shawnell Murphy
• Stephanie Ann Murphy, LMFT
• David T Murray, MD
• Edward Philip Murray Jr., DDS
• Janet Paige Murray, MD
• John Murray, M.D.
• John Vincent Murray Jr., MD

• Homemaker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.