KEIARRA HENDRICK


Address: 250 Cherry Ridge Dr Apt 1021, Jacksonville, FL 32222
Phone: 9044121904

KEIARRA HENDRICK (NPI# 1851880793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 250 CHERRY RIDGE DR APT 1021
City JACKSONVILLE
State FL
Zip Code 32222

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City JACKSONVILLE
Zip Code 32222

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Dataset Information

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.

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