CHANDRA HARRIS WASHINGTON (NPI# 1902397276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902397276 |
| Entity Type | Individual |
| Full Name | CHANDRA HARRIS WASHINGTON |
| Practice Address |
2712 Gaillardia Rd Jacksonville FL 32211 |
| Mailing Address |
2712 Gaillardia Rd Jacksonville FL 32211-4029 |
| Practice Telephone | 9044860412 |
| Mailing Telephone | 9044860412 |
| Mailing Fax Number | 9044860412 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 023370200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477106441 | Chandra Washington | Doula | 1309 Lakeshore Rdg, Birmingham, AL 35211-6953 | 2019-07-19 |
| 1952712044 | Chandra Washington | Behavioral Analyst | 9414 W Lake Mead Blvd, Las Vegas, NV 89134-8312 | 2014-05-12 |
| Street Address |
2712 GAILLARDIA RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| 1881146074 | Arthur Hairston | Technician, Other | 5633 Clifton Lane, Jacksonville, FL 32211 | 2016-11-04 |
| Find all providers in zip 32211 | ||||
| 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 | 32211 |
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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.