TAKEIA GREEN
NPI 1194680470
Technician - Personal Care Attendant in Jacksonville, FL

Active since December 18, 2025
13760 FISH EAGLE DR W, JACKSONVILLE, FL 32226(904) 352-3601 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Takeia Green NPPES

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

TAKEIA GREEN (NPI 1194680470) is an individual personal care attendant in Jacksonville, Florida and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1194680470
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameTAKEIA GREEN
Location Address13760 FISH EAGLE DR WJacksonville, FL 32226-5002
Mailing Address13760 Fish Eagle Dr WJacksonville, FL 32226-5002 · (904) 352-3601
Sole ProprietorYes
Enumeration DateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
NPI 1194680470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

13760 FISH EAGLE DR W, Jacksonville, FL 32226

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194680470, enumerated as an "individual" on December 18, 2025.

The provider is located at 13760 FISH EAGLE DR W JACKSONVILLE, FL 32226 and the phone number is (904) 352-3601.

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.