SUPPORT SERVICES.COM, LLC (NPI# 1811515125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811515125 |
| Entity Type | Organization |
| Organization Name | SUPPORT SERVICES.COM, LLC |
| Practice Address |
2121 Corporate Square Blvd Ste 118 Jacksonville FL 32216-1977 |
| Mailing Address |
Po Box 8294 Jacksonville FL 32239-0294 |
| Practice Telephone | 9043825436 |
| Practice Fax Number | 9042120417 |
| Mailing Telephone | 9043825436 |
| Mailing Fax Number | 9042120417 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | MR. RONALD ANTHONY MCCAULEY (SUPPORT COORDINATOR) |
| Authorized Official Telephone | 9043825436 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 678284196 | 05 |
| Street Address |
2121 CORPORATE SQUARE BLVD STE 118 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| 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 |
| 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 |
| 1881214765 | Best Senior Care, Inc. | In Home Supportive Care | 1440 W Walnut St Ste A6, Jacksonville, IL 62650-1143 | 2020-04-21 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.