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SEP COMPANION SERVICES
NPI 1114525821
Home Health in Jacksonville, FL

Active since October 14, 2020
1979 LANE AVE S, JACKSONVILLE, FL 32210(904) 610-9525 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Oct 14, 2020 (2 updates tracked since 2020).

About Sep Companion Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEP COMPANION SERVICES (NPI 1114525821) is a healthcare organization registered as a home health in Jacksonville, Florida and active in the NPI registry since October 2020. The organization lists Lesly Dervil, Owner, as its authorized official.

NPPES Registry Identity

NPI1114525821
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSEP COMPANION SERVICES
Location Address1979 LANE AVE SJacksonville, FL 32210-2741
Mailing Address1979 Lane Ave SJacksonville, FL 32210-2741 · (904) 610-9525
Phone(904) 610-9525
Organization SubpartNo
Authorized OfficialLesly DervilOwner · (904) 610-9525
Enumeration DateOctober 14, 2020
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1114525821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1979 LANE AVE S, Jacksonville, FL 32210
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Other Identifiers 2

OtherHOMEMAKERFL · Homemaker & Companion
Medicaid253Z00000XFL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sep Companion Services's NPI number?

The NPI number for Sep Companion Services is 1114525821. It was assigned to this organization in the NPPES registry on October 14, 2020.

Where is Sep Companion Services located?

Sep Companion Services is located at 1979 Lane Ave S, Jacksonville, FL 32210. The listed phone number is (904) 610-9525.

What is Sep Companion Services's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Sep Companion Services was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.