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MED WAIVER SOLUTIONS LLC NPI 1518475870


NPI Information

NPI: 1518475870
Provider Name: MED WAIVER SOLUTIONS LLC

Doing Business As: DIRECT HOME CARE SERVICE

Classification: Homemaker - 376J00000X
Entity Type: Organization
Address:
1222 N LIBERTY ST
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 505-5677
Get Directions

MED WAIVER SOLUTIONS LLC is a homemaker in Jacksonville, FL. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. MED WAIVER SOLUTIONS LLC NPI is 1518475870. The provider is registered as an organization entity type.
The provider Is Doing Business As Direct Home Care Service.

The provider's business location address is:

1222 N LIBERTY ST
JACKSONVILLE, FL
ZIP 32206-134
Phone: (904) 505-5677
Fax: (904) 458-8987

The provider's authorized official is Wayshawn Kay .
The authorized official title is Owner and has the following contact phone number (904) 505-5677.

The enumeration date for this NPI number is 1/19/2018 and was last updated on 10/19/2022.


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
1251J00000XNursing CareNo
2253Z00000XIn Home Supportive CareNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4376J00000XHomemakerYes

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
1018273300MEDICAIDFLORIDA
2236620OTHERFLORIDAAHCA

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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