LYNC SUPPORT SERVICES INC NPI 1407335474

NPI Information

NPI: 1407335474
Provider Name: LYNC SUPPORT SERVICES, INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4314 SW 70TH TER APT D
GAINESVILLE, FL
ZIP 32608
Phone: (352) 354-3656
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LYNC SUPPORT SERVICES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Gainesville, 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. LYNC SUPPORT SERVICES, INC NPI is 1407335474. The provider is registered as an organization entity type.

The provider's business location address is:

4314 SW 70TH TER APT D
GAINESVILLE, FL
ZIP 32608-482
Phone: (352) 354-3656

The provider's authorized official is Lukisha N King .
The authorized official title is Executive Director and has the following contact phone number (352) 354-3656.

The enumeration date for this NPI number is 8/10/2018 and was last updated on 8/10/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	251E00000X	Home Health		FLORIDA	No
2	253Z00000X	In Home Supportive Care		FLORIDA	No
3	3747P1801X	Technician	Personal Care Attendant	FLORIDA	No
4	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	FLORIDA	No
5	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	FLORIDA	No
6	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	FLORIDA	No
7	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	021433100	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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