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ODOMS TLC HOMECARE SERVICE NPI 1063045094


NPI Information

NPI: 1063045094
Provider Name: ODOMS TLC HOMECARE SERVICE
Classification: Nurse's Aide - 376K00000X
Entity Type: Organization
Address:
1600 LANSDOWNE DR APT 609
JACKSONVILLE, FL
ZIP 32211
Phone: (904) 362-2487
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ODOMS TLC HOMECARE SERVICE is a nurses aide in Jacksonville, FL. The provider is (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. ODOMS TLC HOMECARE SERVICE NPI is 1063045094. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 LANSDOWNE DR APT 609
JACKSONVILLE, FL
ZIP 32211-010
Phone: (904) 362-2487

The provider's authorized official is Lolita Burnnett Ellis .
The authorized official title is Medicaid Provider and has the following contact phone number (904) 362-2487.

The enumeration date for this NPI number is 2/18/2020 and was last updated on 2/18/2020.


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
1376K00000XNurse's AideYes

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
1024241200MEDICAIDFLORIDA
210179500MEDICAIDFLORIDA

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: 11/14/2023

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