SHANTRELL NICOLE COBB
NPI 1932864550
Homemaker in Jacksonville, FL

Active since November 08, 2021
623 LONG BRANCH BLVD, JACKSONVILLE, FL 32206(904) 571-7843 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2022, Dec 3, 2021, Nov 8, 2021 (3 updates tracked since 2021).

About Shantrell Nicole Cobb NPPES

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

SHANTRELL NICOLE COBB (NPI 1932864550) is an individual homemaker provider in Jacksonville, Florida, licensed in Florida (238101) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1932864550
Entity TypeIndividualFemale
Primary Taxonomy376J00000X
Provider Legal NameSHANTRELL NICOLE COBB
Location Address623 LONG BRANCH BLVDJacksonville, FL 32206-6252
Mailing Address623 Long Branch BlvdJacksonville, FL 32206-6252 · (904) 582-6209
Sole ProprietorNo
Enumeration DateNovember 8, 2021
Last NPPES UpdateJuly 25, 20223 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
NPI 1932864550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
License Licensed in FL · 238101
Definition
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.
623 LONG BRANCH BLVD, Jacksonville, FL 32206

Other Names 1

Former Name (1)Shantrell Nicole Cobb

Other Identifiers 1

Medicaid1932864550FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
623 LONG BRANCH BLVD
JACKSONVILLE, FL 32206

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 Shantrell Cobb's NPI number?

The NPI number for Shantrell Cobb is 1932864550. It was assigned to this individual provider in the NPPES registry on November 8, 2021. The provider is also known as Shantrell Nicole Cobb.

Where is Shantrell Cobb located?

Shantrell Cobb practices at 623 Long Branch Blvd, Jacksonville, FL 32206. The listed phone number is (904) 571-7843.

What is Shantrell Cobb's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Shantrell Cobb was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.