MEDICARE: NETTIE LOVING CARE SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1265394530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NETTIE LOVING CARE SERVICE

Provider Business Mailing Address
First Line	:	9265 SEAWOLF CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-8049
Country	:	US
Telephone Number	:	904-240-6249
Fax Number	:

Provider Business Practice Location Address
First Line	:	9265 SEAWOLF CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-8049
Country	:	US
Telephone Number	:	904-240-6249
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHAMEIKA FERANDA DOWELL
Credential	:
Telephone Number	:	904-240-6249

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

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Directions to “NETTIE LOVING CARE SERVICE ” Practice Location

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