Healthcare Provider Details

I. General information

NPI: 1265394530
Provider Name (Legal Business Name): NETTIE LOVING CARE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9265 SEAWOLF CT
JACKSONVILLE FL
32221-8049
US

IV. Provider business mailing address

9265 SEAWOLF CT
JACKSONVILLE FL
32221-8049
US

V. Phone/Fax

Practice location:
  • Phone: 904-240-6249
  • Fax:
Mailing address:
  • Phone: 904-240-6249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: SHAMEIKA FERANDA DOWELL
Title or Position: CEO
Credential:
Phone: 904-240-6249