MEDICARE: SHAMICIA ROBINSON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	347C00000X	Private Vehicle
4	372600000X	Adult Companion
5	376J00000X	Homemaker
6	376K00000X	Nurse's Aide
7	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1497454896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMICIA ROBINSON

Provider Business Mailing Address
First Line	:	3751 VERDE GARDENS CIR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-2982
Country	:	US
Telephone Number	:	904-896-1322
Fax Number	:	904-467-3534

Provider Business Practice Location Address
First Line	:	3751 VERDE GARDENS CIR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-2982
Country	:	US
Telephone Number	:	904-993-4566
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2023
Last Update Date	:	02/09/2025

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Directions to “ SHAMICIA ROBINSON ” Practice Location

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