PRESENT HELP COMPANION SERVICES, LLC (NPI# 1023508595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023508595 |
| Entity Type | Organization |
| Organization Name | PRESENT HELP COMPANION SERVICES, LLC |
| Practice Address |
6967 Sandle Dr Jacksonville FL 32219-1884 |
| Practice Telephone | 9044141785 |
| Mailing Telephone | 9044141785 |
| Mailing Fax Number | 9043399570 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | SAMAIYAH HARRIS (OWNER) |
| Authorized Official Telephone | 9044141785 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
6967 SANDLE DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32219-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528860 | Samaiyah Harris | Adult Companion | 6967 Sandle Dr, Jacksonville, FL 32219-1884 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902182447 | Beatrice E Hall | Technician | 5838 Soutel Dr., Jacksonville, FL 32219 | 2011-10-28 |
| 1437173697 | Bennie Clark Jr. | Dentist | 5475 Soutel Drive, Jacksonville, FL 32219 | 2006-07-27 |
| 1801842679 | Susan E. Kurner | Counselor | 10149 Fox Lake Ct, Jacksonville, FL 32219-1693 | 2006-05-25 |
| 1841629243 | Latonia Delores Simmons | Day Training, Developmentally Disabled Services | 12428 Cadley Cir, Jacksonville, FL 32219-1861 | 2013-11-06 |
| 1114495512 | La Assistant Services | Home Health Aide | 12428 Cadley Cir, Jacksonville, FL 32219-1861 | 2018-11-05 |
| 1831759141 | Stephanie R Forde | Technician | 12379 Glimmer Way, Jacksonville, FL 32219-1867 | 2019-06-18 |
| 1700372869 | Valerie M Vinson-anderson | In Home Supportive Care | 6751 Langford St, Jacksonville, FL 32219-1875 | 2018-07-02 |
| 1629635420 | Kimberly Walker | Registered Nurse | 8921 Merseyside Ave, Jacksonville, FL 32219-2374 | 2019-05-28 |
| 1649808197 | Leaanne Griffis | Registered Nurse | 10482 New Kings Rd, Jacksonville, FL 32219-2418 | 2020-03-31 |
| 1669489191 | Janet Paige Murray | Family Medicine | 9985 Pritchard Rd, Wellness Center, Jacksonville, FL 32219-2894 | 2006-08-01 |
| Find all providers in zip 32219 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| 1366052623 | New Horizons Supports & Services Inc. | Clinic/Center | 101 Century 21 Dr Ste 203, Jacksonville, FL 32216-9293 | 2020-08-03 |
| 1861041220 | Markedia Louise Daniels | Clinic/Center | 2482 Wylene St, Jacksonville, FL 32209-4576 | 2019-09-09 |
| 1699320838 | True Angels Provider Care Services LLC | Clinic/Center | 5115 Clarendon Rd, Jacksonville, FL 32205-7205 | 2019-08-05 |
| 1538728001 | Tammy Toombs | Clinic/Center | 6722 Arlington Expy, Jacksonville, FL 32211-7234 | 2019-06-10 |
| 1063970358 | Katrina M Johnson | Clinic/Center | 10225 Magnolia Ridge Dr, Jacksonville, FL 32210-4991 | 2019-03-06 |
| 1306303235 | A Bit Above Support Services | Clinic/Center | 6120 Golden Grove Rd W, Jacksonville, FL 32244-2633 | 2019-02-27 |
| 1851880793 | Keiarra Hendrick | Clinic/Center | 250 Cherry Ridge Dr Apt 1021, Jacksonville, FL 32222 | 2018-05-07 |
| 1336638782 | Sharlana Wilson | Clinic/Center | 7854 Smyrna St, Jacksonville, FL 32208-3160 | 2018-05-01 |
| 1770088346 | Marquita Lashell Tinney | Clinic/Center | 9086 Gloucestershire Ct, Jacksonville, FL 32219-4398 | 2018-03-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32219 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.