AGING AT HOME LLC (NPI# 1295334191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295334191 |
| Entity Type | Organization |
| Organization Name | AGING AT HOME LLC |
| Practice Address |
1858 Forest Hills Rd Jacksonville FL 32208-2535 |
| Practice Telephone | 2055170505 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | LAPATRA FISHER (OWNER) |
| Authorized Official Telephone | 2055170505 |
| Authorized Official Credential | CNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
1858 FOREST HILLS RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32208-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
| 1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| 1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
| 1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
| 1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
| 1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
| 1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
| 1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
| Find all providers in zip 32208 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052623 | New Horizons Supports & Services Inc. | Clinic/Center | 101 Century 21 Dr Ste 203, Jacksonville, FL 32216-9293 | 2020-08-03 |
| 1861041220 | Markedia Louise Daniels | Clinic/Center | 2482 Wylene St, Jacksonville, FL 32209-4576 | 2019-09-09 |
| 1699320838 | True Angels Provider Care Services LLC | Clinic/Center | 5115 Clarendon Rd, Jacksonville, FL 32205-7205 | 2019-08-05 |
| 1538728001 | Tammy Toombs | Clinic/Center | 6722 Arlington Expy, Jacksonville, FL 32211-7234 | 2019-06-10 |
| 1063970358 | Katrina M Johnson | Clinic/Center | 10225 Magnolia Ridge Dr, Jacksonville, FL 32210-4991 | 2019-03-06 |
| 1306303235 | A Bit Above Support Services | Clinic/Center | 6120 Golden Grove Rd W, Jacksonville, FL 32244-2633 | 2019-02-27 |
| 1851880793 | Keiarra Hendrick | Clinic/Center | 250 Cherry Ridge Dr Apt 1021, Jacksonville, FL 32222 | 2018-05-07 |
| 1336638782 | Sharlana Wilson | Clinic/Center | 7854 Smyrna St, Jacksonville, FL 32208-3160 | 2018-05-01 |
| 1770088346 | Marquita Lashell Tinney | Clinic/Center | 9086 Gloucestershire Ct, Jacksonville, FL 32219-4398 | 2018-03-27 |
| 1851896450 | Terrisha L Miller | Clinic/Center | 2128 W 14th St, Jacksonville, FL 32209-4602 | 2018-03-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32208 |
Please comment or provide details below to improve the information on AGING AT HOME LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.