Jessicadavisceo, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

JESSICADAVISCEO, LLC

Doing business as

Passionate Champion

Practice address

801 W State Road 436 Ste 2039
Altamonte Springs, FL 32714-3053

Phone

(321) 280-0466

NPI assigned

Sep 13, 2019

Last updated

Sep 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Alexandra DavisNPI 1629534367

Title

Administrator

Phone

(321) 208-0466

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Passionate Champion Doing business as

Electronic endpoints 2

Locations

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.

• Jessica Davis, CNA

  • Personal Care Attendant
  • Altamonte Springs, FL
  • NPI 1629534367
  NPD Authorized official

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1952951733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W STATE ROAD 436 STE 2039",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143053",
            "telephone_number": "321-280-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W STATE ROAD 436 STE 2039",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143053",
            "telephone_number": "321-280-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICADAVISCEO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-208-0466"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1952951733",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cocoa",
            "affiliation": "N",
            "address_1": "307 N Georgia Ave",
            "city": "Cocoa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329226222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.passionatechampion1@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2550 Palm Bay Rd NE Ste 106",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329053565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Passionate Champion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rashard Jennings, MASSAGE THERAPIST
• Sean Patrick Jennings, PSY.D.
• Jenny Boss LLC
• Jerome a Africk M D P a
• Jerri L. Johnson, M.D., P.a.
• Yuchen Jiang, MD
• Tanya Rita Jilkevorkian
• Carlos Alberto Jimenez, PA
• Melissa Jimenez
• Jimmy L. Wilson, Inc (Veterans Acupuncture Center)

• Personal Care Attendant in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.