# SMILEY BERRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Xavier Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326829474
- **Authorized official:** CHINENYE ESOMONU APRN (ADMINISTRATOR)
- **Authorized official phone:** (904) 290-1290

## Contact information

- **Practice address:** 12724 GRAN BAY PKWY W, STE 410, OFFICE 452, JACKSONVILLE, FL 32258-9486
- **Practice address phone:** (904) 290-1290
- **Mailing address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Mailing address phone:** (904) 290-1290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2023
- **Last updated:** 10/12/2023