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SHARONDA R. HUSSEY NPI 1558736587


NPI Information

NPI: 1558736587
Provider Name: SHARONDA R. HUSSEY
Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
11501 BRIAN LAKES DR
JACKSONVILLE, FL
ZIP 32221
Phone: (904) 229-1884
Get Directions

SHARONDA R. HUSSEY is a respite care and mental retardation and/or developmental disabilities respite care in Jacksonville, FL. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. SHARONDA R. HUSSEY NPI is 1558736587. The provider is registered as an organization entity type.

The provider's business location address is:

11501 BRIAN LAKES DR
JACKSONVILLE, FL
ZIP 32221-849
Phone: (904) 229-1884

The provider's authorized official is Sharonda Hussey .
The authorized official title is Provider and has the following contact phone number (904) 229-1884.

The enumeration date for this NPI number is 12/2/2015 and was last updated on 12/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesFLORIDANo
2385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1015805400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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