# TINA SINES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacks Therapy Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144987165
- **Authorized official:** TINA SINES (OWNER/OPERATOR)
- **Authorized official phone:** (904) 598-4551

## Contact information

- **Practice address:** 1214 LABELLE ST, JACKSONVILLE, FL 32205-6977
- **Practice address phone:** (904) 878-2204
- **Practice address fax:** (904) 467-3653
- **Mailing address:** 1214 LABELLE ST APT 159, JACKSONVILLE, FL 32205-6975
- **Mailing address phone:** (904) 598-4551
- **Mailing address fax:** (904) 467-3653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/24/2021
- **Last updated:** 12/08/2021