MR. JIMMIE DEAN CANOLE NPI 1659741627

NPI Information

  • NPI: 1659741627
  • Provider Name: MR. JIMMIE DEAN CANOLE
  • Classification: Supports Brokerage - 251X00000X
  • Entity Type: Individual
  • Address: 2979 S HWY A1A
    UNIT 224
    MELBOURNE BEACH, FL
    ZIP 32951
  • Phone: (321) 223-9822

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NPI Details

MR. Jimmie Dean Canole is a supports brokerage in Melbourne Beach, FL. The provider is a provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. MR. Jimmie Dean Canole NPI is 1659741627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2979 S HWY A1A
UNIT 224
MELBOURNE BEACH, FL
ZIP 32951-881
Phone: (321) 223-9822
Fax: (321) 723-7720

The enumeration date for this NPI number is 10/2/2015 and was last updated on 10/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251X00000XSupports BrokerageA039719FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1573494OTHERFLORIDANATIONAL PRODUCER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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