AUTHENTIC HEALTHCARE, LLC (NPI# 1942813233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942813233 |
| Entity Type | Organization |
| Organization Name | AUTHENTIC HEALTHCARE, LLC |
| Practice Address |
15379 Spotted Stallion Trl Jacksonville FL 32234-2397 |
| Practice Telephone | 9048025267 |
| Mailing Telephone | 9048025267 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | JOHANNA I GATES (DIRECTOR) |
| Authorized Official Telephone | 9048025267 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Authentic Healthcare of Jax, LLC | Doing Business As Name - Organization |
| Street Address |
15379 SPOTTED STALLION TRL |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32234-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761830 | Johanna I Gates | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026748 | Sandra Nicole Frye | Massage Therapist | 5894 Long Branch Rd, Jacksonville, FL 32234 | 2020-09-01 |
| 1467923946 | Shopjveon LLC | In Home Supportive Care | 15402 Hidden Foal Drive, Jacksonville, FL 32234 | 2018-12-10 |
| 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 |
| 1851851554 | Veronica H Bartley | Nurse Practitioner | 15319 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2019-03-20 |
| 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 |
| 1700247863 | Emily Calhoun | General Practice | 554 Kelly Ln, Jacksonville, FL 32234-3049 | 2016-03-16 |
| Find all providers in zip 32234 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572981 | La'toya Renee Jones | Homemaker | 2138 Wiley Oaks Ln, Jacksonville, FL 32210-2692 | 2020-09-12 |
| 1346855939 | Tina Sines | Homemaker | 1214 Labelle St Apt 159, Jacksonville, FL 32205-6975 | 2020-09-10 |
| 1437761830 | Johanna I Gates | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-18 |
| 1659983203 | Paula Ravnell | Homemaker | 7707 Merrill Rd Ste 11965, Jacksonville, FL 32277-3714 | 2020-08-17 |
| 1790395267 | Paris Toins | Homemaker | 1728 Keats Rd, Jacksonville, FL 32208-3122 | 2020-08-08 |
| 1932719333 | G.a.c. Support Services, LLC | Homemaker | 6532 Gentle Oaks Dr S, Jacksonville, FL 32244-3660 | 2020-07-31 |
| 1154930527 | Tysheana Peterson | Homemaker | 6717 Southern Oaks Dr, Jacksonville, FL 32244-3675 | 2020-07-30 |
| 1336757475 | Jessica G Wright | Homemaker | 439 W 26th St, Jacksonville, FL 32206-1923 | 2020-07-15 |
| 1689292526 | Kedisha Mauraine Goldsmith | Homemaker | 6088 Davon St, Jacksonville, FL 32244-3178 | 2020-07-07 |
| 1982221099 | Sandrika Powell | Homemaker | 5620 Collins Rd Apt 302, Jacksonville, FL 32244-6910 | 2020-07-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32234 |
Please comment or provide details below to improve the information on AUTHENTIC HEALTHCARE, LLC.
| 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.