Active NPI
H2H Support Services
- Early Intervention Provider Agency
- Jacksonville, FL
National Provider Identifier
1942665187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 1366645673
- Legal business name
- H2H SUPPORT SERVICES
- Practice address
- 330 W 70TH St
Jacksonville, FL 32208-3810 - Phone
- (901) 338-5421
- Fax
- (904) 379-0801
- NPI assigned
- Dec 15, 2015
- Last updated
- Dec 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harriette Gardner, MS
- Title
- Owner
- Phone
- (901) 338-5421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 1366645673 | FL | Primary |
Addresses
Primary practice location
330 W 70TH St
Jacksonville, FL 32208-3810
Mailing address
31 W Adams St
Jacksonville, FL 32202-3605
Phone (901) 338-5421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477966471 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1366645673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450137600000",
"number": "1942665187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 W ADAMS ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322023605",
"telephone_number": "901-338-5421",
"fax_number": "904-379-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 70TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322083810",
"telephone_number": "901-338-5421",
"fax_number": "904-379-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H2H SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-15",
"last_updated": "2015-12-15",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "HARRIETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-338-5421",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "FL",
"license": "1366645673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477966471",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- H2 Rehabilitation Services of Florida LLC (H2 Health)
- H2 Rehabilitation Services of Florida LLC (H2 Health)
- H2 Rehabilitation Services of Florida LLC (H2 Health)
- H2 Rehabilitation Services of Waco LP (H2 Health)
- H2H
- Irvin Haak, PT
- Lucas Byron Haaren
- Kristan Haas
- Randall Marshall Haas, DC
- Stephen Beckley Haas, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.