SHOPJVEON LLC (NPI# 1467923946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467923946 |
| Entity Type | Organization |
| Organization Name | SHOPJVEON LLC |
| Practice Address |
15402 Hidden Foal Drive Jacksonville FL 32234 |
| Mailing Address |
Po Box 143052 Gainesville FL 32614 |
| Practice Telephone | 9044157664 |
| Mailing Telephone | 9044157664 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | MR. JAYVEON M PETERSON (OWNER) |
| Authorized Official Telephone | 9044157664 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHOPJVEON LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
15402 HIDDEN FOAL DRIVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026748 | Sandra Nicole Frye | Massage Therapist | 5894 Long Branch Rd, Jacksonville, FL 32234 | 2020-09-01 |
| 1699107342 | Bradley Kent Cammack | Dentist | Moved 534 Keily Street, Bureau of Medicine &, Surgery Centralized Credential & Privileging, Jacksonville, FL 32234 | 2013-08-05 |
| 1033276878 | Adoracion Poblete Sotomayor | Family Medicine | 365 West Oliver Street, Baldwin, FL 32234-0608 | 2007-01-02 |
| 1033660121 | Tatiana Burrough | Specialist/Technologist | 291 Mill St W, Jacksonville, FL 32234-1307 | 2016-10-24 |
| 1851835565 | Mark Seymore | Licensed Practical Nurse | 860 Us Highway 90 E, Baldwin, FL 32234-1727 | 2016-12-14 |
| 1437761830 | Johanna I Gates | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-18 |
| 1851851554 | Veronica H Bartley | Nurse Practitioner | 15319 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2019-03-20 |
| 1942813233 | Authentic Healthcare, LLC | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-26 |
| 1821304411 | Keriomi N Timpson-bey | Counselor | 15414 Spotted Stallion Trl, Jacksonville, FL 32234-2398 | 2010-08-20 |
| 1801438486 | Twyla D Carley | Nurse Practitioner | 15181 Bareback Dr, Jacksonville, FL 32234-2431 | 2019-10-15 |
| Find all providers in zip 32234 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
| 1255930681 | Beverley's Home Healthcare LLC | In Home Supportive Care | 6404 Shortleaf Pl, Jacksonville, FL 32244-8122 | 2020-10-17 |
| 1063029288 | Gentle Hands of Care,llc | In Home Supportive Care | 12450 Biscayne Blvd Apt 620, Jacksonville, FL 32218-8628 | 2020-09-30 |
| 1922613934 | Just In Time A&n, LLC | In Home Supportive Care | 2212 Edgewood Ave W, Jacksonville, FL 32209-2522 | 2020-09-15 |
| 1225647787 | Foundations for Seniors, Inc | In Home Supportive Care | 1598 Falkland Rd E, Jacksonville, FL 32221-2803 | 2020-07-30 |
| 1184233165 | Elizabeth C Robinson | In Home Supportive Care | 6229 Cranberry Ln E, Jacksonville, FL 32244-7204 | 2020-07-27 |
| 1164040507 | Their Heart Our Passion Provider Services, Inc | In Home Supportive Care | 5687 Colony Pine Cir N, Jacksonville, FL 32244-6245 | 2020-07-13 |
| 1811515125 | Support Services.com, LLC | In Home Supportive Care | 2121 Corporate Square Blvd Ste 118, Jacksonville, FL 32216-1977 | 2020-07-13 |
| 1659996999 | 3d Brighter Hope Care LLC | In Home Supportive Care | 2946 W 6th St, Jacksonville, FL 32254-1904 | 2020-06-12 |
| 1023632569 | Caretenders Visiting Services of St. Augustine, LLC | In Home Supportive Care | 6789 Southpoint Pkwy Ste 200, Jacksonville, FL 32216-8206 | 2020-06-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32234 |
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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.