Healthcare Provider Details

I. General information

NPI: 1932077963
Provider Name (Legal Business Name): THE ESSENCE OF JOY HOME SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5807 GILCHRIST OAKS CT
JACKSONVILLE FL
32219-3085
US

IV. Provider business mailing address

5807 GILCHRIST OAKS CT
JACKSONVILLE FL
32219-3085
US

V. Phone/Fax

Practice location:
  • Phone: 904-613-0858
  • Fax:
Mailing address:
  • Phone: 904-613-0858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MRS. TYRA JACKSON
Title or Position: OWNER
Credential:
Phone: 904-613-0858