Active NPI
Jamar Hall Sr.
- Day Training/Habilitation Specialist
- Leesburg, FL
National Provider Identifier
1992293245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 2858 W Main St
Leesburg, FL 34748-4631 - Phone
- (813) 957-8327
- NPI assigned
- Apr 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | FL | Primary |
Addresses
Primary practice location
2858 W Main St
Leesburg, FL 34748-4631
Mailing address
8112 Centralia CT
Leesburg FL, FL 34788
Phone (352) 874-3643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022093700 | Medicaid | FL |
Other names 1
- Jamar Hall
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaxson'S House of Care LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Leesburg, FL
- NPI 1174453831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1992293245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8112 CENTRALIA CT",
"city": "LEESBURG FL",
"state": "FL",
"postal_code": "34788",
"telephone_number": "352-874-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2858 W MAIN ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484631",
"telephone_number": "813-957-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JAMAR",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-23",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022093700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAMAR",
"last_name": "HALL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.