LACENDIA MITCHELL (NPI# 1578069209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578069209 |
| Entity Type | Individual |
| Full Name | LACENDIA MITCHELL |
| Practice Address |
11036 Lydia Estates Dr W Jacksonville FL 32218-6937 |
| Practice Telephone | 9043051608 |
| Mailing Telephone | 9043051608 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
FL | Respite Care Facility |
| Street Address |
11036 LYDIA ESTATES DR W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-6937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750875977 | Future Sixcess Assisted Living Facility, LLC | Respite Care | 11036 Lydia Estates Dr W, Jacksonville, FL 32218-6937 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| 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 |
|---|---|---|---|---|
| 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 | 32218 |
Please comment or provide details below to improve the information on LACENDIA MITCHELL.
| 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.