Healthcare Provider Details

I. General information

NPI: 1669331641
Provider Name (Legal Business Name): JHAWKS HOMEMAKER AND COMPANIONSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2026
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4161 SW 101ST PL
JASPER FL
32052-3609
US

IV. Provider business mailing address

4161 SW 101ST PL
JASPER FL
32052-3609
US

V. Phone/Fax

Practice location:
  • Phone: 386-855-4488
  • Fax:
Mailing address:
  • Phone: 386-855-4488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: JAMYRA J HAWKINS
Title or Position: OWNER
Credential:
Phone: 386-855-4488