PEACOCK COMPANION & CAREGIVING SERIVCE
NPI 1417791500
Home Health in Jacksonville, FL

Active since June 24, 2024
2918 WILLOW ST, JACKSONVILLE, FL 32207(904) 882-5777 Get Directions Write a Review

NPPES record last updated: July 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 20, 2024, Jun 26, 2024 (2 updates tracked since 2024).

About Peacock Companion & Caregiving Serivce NPPES

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

PEACOCK COMPANION & CAREGIVING SERIVCE (NPI 1417791500) is a healthcare organization registered as a home health in Jacksonville, Florida and active in the NPI registry since June 2024. The organization lists La'roniquia Bre'nae Fleming, Owner, as its authorized official.

NPPES Registry Identity

NPI1417791500
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePEACOCK COMPANION & CAREGIVING SERIVCE
Location Address2918 WILLOW STJacksonville, FL 32207-4458
Mailing Address2918 Willow StJacksonville, FL 32207-4458
Organization SubpartNo
Authorized OfficialLa'roniquia Bre'nae FlemingOwner · (904) 254-0469
Enumeration DateJune 24, 2024
Last NPPES UpdateJuly 20, 20242 updates tracked since enumeration
NPPES CertifiedJuly 20, 2024
✔ NPI 1417791500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
2918 WILLOW ST, Jacksonville, FL 32207

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 Peacock Companion & Caregiving Serivce's NPI number?

The NPI number for Peacock Companion & Caregiving Serivce is 1417791500. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Peacock Companion & Caregiving Serivce located?

Peacock Companion & Caregiving Serivce is located at 2918 Willow St, Jacksonville, FL 32207. The listed phone number is (904) 882-5777.

What is Peacock Companion & Caregiving Serivce'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 Peacock Companion & Caregiving Serivce was last updated on July 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.