MED WAIVER SOLUTIONS LLC (NPI# 1518475870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518475870 |
| Entity Type | Organization |
| Organization Name | MED WAIVER SOLUTIONS LLC |
| Other Organization Name | DIRECT HOME CARE SERVICE |
| Practice Address |
3119 Spring Glen Rd Ste 104 Jacksonville FL 32207 |
| Mailing Address |
3119 Spring Glen Rd Ste 104 Jacksonville FL 32207-5921 |
| Practice Telephone | 9045055677 |
| Mailing Telephone | 9045055677 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | MS. WAYSHAWN KAY (OWNER) |
| Authorized Official Telephone | 9045055677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AHCA | 235153 | 01 |
| FL | 018273300 | 05 |
| Other Name | Type Code |
|---|---|
| Direct Home Care Service | Doing Business As Name - Organization |
| Street Address |
3119 SPRING GLEN RD STE 104 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295288108 | Wayshawn Kay | Case Manager/Care Coordinator | 3119 Spring Glen Rd Ste 104, Jacksonville, FL 32207 | 2016-07-27 |
| 1538727177 | Med Waiver Soulutions LLC | Homemaker | 3119 Spring Glen Rd Ste 104, Jacksonville, FL 32207-5921 | 2019-05-30 |
| 1487170759 | My Peace Keeper II Inc. | Community/Behavioral Health | 3119 Spring Glen Rd Ste 104, Jacksonville, FL 32207-5921 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572981 | La'toya Renee Jones | Homemaker | 2138 Wiley Oaks Ln, Jacksonville, FL 32210-2692 | 2020-09-12 |
| 1346855939 | Tina Sines | Homemaker | 1214 Labelle St Apt 159, Jacksonville, FL 32205-6975 | 2020-09-10 |
| 1437761830 | Johanna I Gates | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-18 |
| 1659983203 | Paula Ravnell | Homemaker | 7707 Merrill Rd Ste 11965, Jacksonville, FL 32277-3714 | 2020-08-17 |
| 1790395267 | Paris Toins | Homemaker | 1728 Keats Rd, Jacksonville, FL 32208-3122 | 2020-08-08 |
| 1932719333 | G.a.c. Support Services, LLC | Homemaker | 6532 Gentle Oaks Dr S, Jacksonville, FL 32244-3660 | 2020-07-31 |
| 1154930527 | Tysheana Peterson | Homemaker | 6717 Southern Oaks Dr, Jacksonville, FL 32244-3675 | 2020-07-30 |
| 1336757475 | Jessica G Wright | Homemaker | 439 W 26th St, Jacksonville, FL 32206-1923 | 2020-07-15 |
| 1689292526 | Kedisha Mauraine Goldsmith | Homemaker | 6088 Davon St, Jacksonville, FL 32244-3178 | 2020-07-07 |
| 1982221099 | Sandrika Powell | Homemaker | 5620 Collins Rd Apt 302, Jacksonville, FL 32244-6910 | 2020-07-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.