LAVON M. GAINEY (NPI# 1396298915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396298915 |
| Entity Type | Organization |
| Organization Name | LAVON M. GAINEY |
| Other Organization Name | QUALITY LIFE CENTER OF JACKSONVILLE |
| Practice Address |
11265 Alumni Way Jacksonville FL 32246-6685 |
| Practice Telephone | 9045186090 |
| Mailing Telephone | 9045186090 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Authorized Official Name | DR. MARCUS DE CARVALHO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9043982020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MENTAL HEALTH LICENSURE # | MH13303 | 01 |
| Other Name | Type Code |
|---|---|
| Quality Life Center of Jacksonville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093166613 | Lavon M. Gainey | Social Worker | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2016-06-24 |
| Street Address |
11265 ALUMNI WAY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32246-6685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154430197 | Marlyn Enterprises of Jacksonville | Clinic/Center | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2006-08-30 |
| 1669941126 | Moriah Brown | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2018-11-14 |
| 1922599083 | Marlyn Behavioral Health Systems, Inc | Clinic/Center | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2018-05-24 |
| 1912497306 | Margaret Elizabeth Johnston | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2018-05-11 |
| 1861941114 | Lavon M Gainey | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2016-09-28 |
| 1093166613 | Lavon M. Gainey | Social Worker | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2016-06-24 |
| 1427419910 | Lee Mikell | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2016-03-11 |
| 1609214220 | Carolyn Syliva Hillhouse-jones | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2013-06-05 |
| 1003108986 | Dawn S. Liphart | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2011-05-10 |
| 1366697278 | Christina Bath Harris | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179863 | Samar A Ibrahim | Pharmacist | 1305 N Orange Ave Green Cove Springs, Jacksonville, FL 32246 | 2019-11-19 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| 1700449006 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4712 Lake Center Drive, Space 107, Jacksonville, FL 32246 | 2019-04-22 |
| 1205399946 | Usa United Surgical Assistants | Clinic/Center | Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 | 2019-04-10 |
| 1780173526 | Jules Novall LLC | Taxi | 4600 Touchton Rd, Jacksonville, FL 32246 | 2018-05-08 |
| 1740636307 | Jonathan David Browning | Psychiatry & Neurology | 4884 Deer Creek Drive W, Jacksonville, FL 32246 | 2016-05-12 |
| 1952770463 | Alignment Healthcare Florida LLC | Clinic/Center | 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 | 2015-09-15 |
| 1558739417 | Jessica Brake | Physical Therapist | 9726 Touchton Road, Suite 104, Jacksonville, FL 32246 | 2015-09-09 |
| 1043686256 | Healthyeye Dba Vision Express LLC | Optometrist | 4871 Town Center Parkway #5, Jacksonville, FL 32246 | 2015-08-12 |
| 1477954675 | Joanivette Rodriguez | Psychologist | 3451 Saland Way Apt 504, Jacksonville, FL 32246 | 2014-09-08 |
| Find all providers in zip 32246 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508291683 | Spirit of Excellence Community Outreach, Inc | Community Based Residential Treatment Facility, Mental Illness | 510 Crissy Dr, Jacksonville, NC 28540-9183 | 2013-09-09 |
| 1326383852 | Operation Community Restore | Community Based Residential Treatment Facility, Mental Illness | 204 N Washington St, Jacksonville, FL 32202-2809 | 2012-12-10 |
| 1558634113 | A.l.l. Focus Inc | Community Based Residential Treatment Facility, Mental Illness | 11115 Key Haven Blvd, Jacksonville, FL 32218-4488 | 2012-02-13 |
| 1063601565 | A.l.l. Focus Inc | Community Based Residential Treatment Facility, Mental Illness | 6816 Bloxham Ave, Jacksonville, FL 32208-4841 | 2007-10-20 |
| 1598953408 | Pearls Family Care Home #2 | Community Based Residential Treatment Facility, Mental Illness | 107 Ash Ct, Jacksonville, NC 28546-8503 | 2007-10-05 |
| 1174710529 | Pearls Family Care Home # 4 | Community Based Residential Treatment Facility, Mental Illness | 102 Ash Place, Jacksonville, NC 28546 | 2007-10-01 |
| 1104013994 | Pearls Family Care Home #3 | Community Based Residential Treatment Facility, Mental Illness | 105 Ash Ct, Jacksonville, NC 28546-8503 | 2007-09-26 |
| 1528107505 | .martha's Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 303 S Shore Dr, Jacksonville, NC 28540-5647 | 2007-02-06 |
| 1306484464 | Roxanne Gordon | Community Based Residential Treatment Facility, Mental Illness | 3027 San Diego Rd, Jacksonville, FL 32207-3691 | 2019-12-19 |
| 1932577970 | Collette Katrell Holmes | Community Based Residential Treatment Facility, Mental Illness | 2821 Hunt St, Jacksonville, FL 32254-4003 | 2015-09-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32246 |
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| 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.