KEIARRA HENDRICK (NPI# 1851880793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851880793 |
Entity Type | Individual |
Full Name | KEIARRA HENDRICK |
Practice Address |
250 Cherry Ridge Dr Apt 1021 Jacksonville FL 32222 |
Mailing Address |
250 Cherry Ridge Dr Apt 1021 Jacksonville FL 32222-2868 |
Practice Telephone | 9044121904 |
Mailing Telephone | 9044121904 |
Enumeration Date | 2018-05-07 |
Last Update Date | 2019-07-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
Y | 253Z00000X | In Home Supportive Care | Agencies |
Street Address |
250 CHERRY RIDGE DR APT 1021 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477046241 | Always There Care Corp | Clinic/Center | 250 Cherry Ridge Dr Apt 1021, Jacksonville, FL 32222-2868 | 2018-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
1053874578 | Silver Linings Community Care, LLC. | Home Health Aide | 250 Cherry Ridge #1435, Jacksonville, FL 32222 | 2019-04-11 |
1588144802 | Fleming Total Support Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6760 Portofina Ct, Jacksonville, FL 32222 | 2018-08-16 |
1447736293 | Phyllis N Parrish | Home Health Aide | 10506 Innisbrook Dr, Jacksonville, FL 32222 | 2018-07-16 |
1427573310 | Priority Love & Care, Inc. | Voluntary or Charitable | 7283 Old Middleburg Rd S, Jacksonville, FL 32222 | 2017-08-11 |
1801334834 | Stacey Nicole Harden | Nurse Practitioner | 9785 Corsshill Blvd, Suite 108, Jacksonville, FL 32222 | 2017-02-09 |
1184031841 | Andrew Todd Pinder | Family Medicine | 8355 Merchants Gate Drive, Jacksonville, FL 32222 | 2014-07-15 |
1538455142 | Ricky Wallace | Social Worker | 10512 Innisbrook Drive, Jacksonville, FL 32222 | 2011-06-22 |
1477597680 | Kelly Lynne Broekhof | Registered Nurse | Bldg 2104 Massey Ave, Naval Station Mayport, Jacksonville, FL 32222 | 2006-06-16 |
1356883839 | Baptist Primary Care Inc | Family Medicine | 8355 Merchants Gate Dr, Jacksonville, FL 32222 | 2016-11-15 |
Find all providers in zip 32222 |
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 | 32222 |
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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.