ALEXCIA BENNETT NPI 1003637588

NPI Information

  • NPI: 1003637588
  • Provider Name: ALEXCIA BENNETT
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 505 MATECUMBE CT
    MACCLENNY, FL
    ZIP 32063
  • Phone: (904) 414-1675

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NPI Details

Alexcia Bennett is a community based residential treatment facility, intellectual and/or developmental disabilities in Macclenny, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Alexcia Bennett NPI is 1003637588. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

505 MATECUMBE CT
MACCLENNY, FL
ZIP 32063-832
Phone: (904) 414-1675

The enumeration date for this NPI number is 10/18/2024 and was last updated on 10/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172V00000XCommunity Health WorkerNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 11/21/2025

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