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FUTURE SIXCESS ASSISTED LIVING FACILITY LLC NPI 1750875977


NPI Information

NPI: 1750875977
Provider Name: FUTURE SIXCESS ASSISTED LIVING FACILITY, LLC

Doing Business As: FUTURE SIXCESS ASSISTED LIVING

Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
11036 LYDIA ESTATES DR W
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 305-1608
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FUTURE SIXCESS ASSISTED LIVING FACILITY, LLC 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. FUTURE SIXCESS ASSISTED LIVING FACILITY, LLC NPI is 1750875977. The provider is registered as an organization entity type.
The provider Is Doing Business As Future Sixcess Assisted Living.

The provider's business location address is:

11036 LYDIA ESTATES DR W
JACKSONVILLE, FL
ZIP 32218-937
Phone: (904) 305-1608

The provider's authorized official is Lacendia Mitchell .
The authorized official title is President and has the following contact phone number (904) 305-1608.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 6/20/2018.


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
1385HR2060XRespite 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
11578069209OTHERFLORIDANPI

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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