SHARONDA R. HUSSEY (NPI# 1558736587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558736587 |
| Entity Type | Organization |
| Organization Name | SHARONDA R. HUSSEY |
| Practice Address |
11501 Brian Lakes Dr Jacksonville FL 32221-2849 |
| Practice Telephone | 9042291884 |
| Mailing Telephone | 9042291884 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |
| Authorized Official Name | MS. SHARONDA HUSSEY (PROVIDER) |
| Authorized Official Telephone | 9042291884 |
| 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 | FL | Residential Treatment Facilities | |
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
FL | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015805400 | 05 |
| Street Address |
11501 BRIAN LAKES DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32221-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164899308 | Sharonda Hussey | Respiratory Therapist, Registered | 11501 Brian Lakes Dr, Jacksonville, FL 32221-2849 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092534 | Ronetta S Wright | Non-emergency Medical Transport (VAN) | 8450 Perryman Ln N, Jacksonville, FL 32221 | 2020-01-18 |
| 1770128910 | Anointed Hands Support Services LLC | In Home Supportive Care | 11448 Emma Oaks Ln, Jacksonville, FL 32221 | 2019-11-12 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1659892743 | Sebastian Isaza | Dentist | 11043 Crystal Springs Rd Ste 20, Jacksonville, FL 32221 | 2017-06-29 |
| 1518497031 | Valda M Brown | Nurse's Aide | 11201 Lothmore Rd, Jacksonville, FL 32221 | 2017-06-18 |
| 1942603899 | Pain Medicine Physicians of Jacksonville, LLC | Anesthesiology | 10250 Normandy Boulevard, Suite 702, Jacksonville, FL 32221 | 2014-10-07 |
| 1376950501 | Daniel C Marin | Physician Assistant | 1584 Normandy Village Pkwy Ste 32, Jacksonville, FL 32221 | 2014-07-21 |
| 1508001850 | Lilliam Rivera | Registered Nurse | 2236 Brian Lakes Dr. E, Jacksonville, FL 32221 | 2008-12-15 |
| 1992979777 | La Quenda Mosby Pharr | Community Health Worker | 10361 Shelby Creek Rd.s, Jacksonville, FL 32221 | 2008-04-14 |
| 1922167196 | Donald Robert Engels Jr. | Chiropractor | 7661 Knoll Dr N, Jacksonville, FL 32221 | 2006-12-06 |
| Find all providers in zip 32221 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578069209 | Lacendia Mitchell | Respite Care | 11036 Lydia Estates Dr W, Jacksonville, FL 32218-6937 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1417124892 | Katrina Lefaye James | Respite Care | 3504 North Davis Street, Jacksonville, FL 32209-4456 | 2008-05-14 |
| 1134687130 | Garden Heals Inc | Respite Care | 193 Bradford Lake Cir, Jacksonville, FL 32218-0103 | 2019-03-08 |
| 1750875977 | Future Sixcess Assisted Living Facility, LLC | Respite Care | 11036 Lydia Estates Dr W, Jacksonville, FL 32218-6937 | 2018-06-20 |
| 1508006479 | Malachi Behavioral Healthcare,inc | Respite Care | 200 Valencia Dr, Suite 102&103, Jacksonville, NC 28546-6311 | 2009-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719604 | Kimberly D Dawkins | Respite Care | 742 Starland St Se, Palm Bay, FL 32909-4453 | 2020-10-31 |
| 1538776695 | Charismatic Relentless Care LLC | Respite Care | 5933 Nw Brenda Cir, Port Saint Lucie, FL 34986-3637 | 2020-09-23 |
| 1649898842 | Hearts&hands Care Agency Inc | Respite Care | 1567 Nw 29th Rd Apt 3, Gainesville, FL 32605-3066 | 2020-07-14 |
| 1114545035 | Careplus Services, Inc | Respite Care | 10005 Sw 91st Ter, Miami, FL 33176-1707 | 2020-07-07 |
| 1821615022 | Leon Advocacy and Resource Center, Inc. | Respite Care | 1949 Commonwealth Ln, Tallahassee, FL 32303-3196 | 2020-07-03 |
| 1861054801 | Jay Sweatt | Respite Care | 4280 70th Ave N, Pinellas Park, FL 33781-4549 | 2019-06-29 |
| 1114581907 | Kaidra Quantai Thonpkins | Respite Care | 118 Thistle Trl, Hawthonre, FL 32604 | 2019-04-26 |
| 1982160511 | Germitha Hora | Respite Care | 6460 Nw 28th St, Sunrise, FL 33313-1102 | 2019-02-19 |
| 1790258887 | Unlimited Healthcare Provider Inc | Respite Care | 2101 Vista Pkwy Ste 278, West Palm Beach, FL 33411-2706 | 2019-01-10 |
| 1891260832 | S & K's Home Health Inc | Respite Care | 4487 Sw 49th Ave, Ocala, FL 34474-9683 | 2018-10-05 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32221 |
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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.