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SANDY LEMKE SUPPORTED LIVING SERVICES INC. NPI 1568764371


NPI Information

NPI: 1568764371
Provider Name: SANDY LEMKE SUPPORTED LIVING SERVICES, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
735 38TH AVE S
ST PETERSBURG, FL
ZIP 33705
Phone: (727) 823-9160
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SANDY LEMKE SUPPORTED LIVING SERVICES, INC. is a day training developmentally disabled services in St Petersburg, FL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. SANDY LEMKE SUPPORTED LIVING SERVICES, INC. NPI is 1568764371. The provider is registered as an organization entity type.

The provider's business location address is:

735 38TH AVE S
ST PETERSBURG, FL
ZIP 33705-837
Phone: (727) 823-9160
Fax: (727) 824-8841

The provider's authorized official is Sandra Ann Lemke .
The authorized official title is President and has the following contact phone number (727) 823-9160.

The enumeration date for this NPI number is 11/30/2010 and was last updated on 11/30/2010.


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
1251C00000XDay Training, Developmentally Disabled ServicesFLORIDAYes

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
1672827801OTHERFLORIDAMEDICAID DEVELOPMENTAL DISABILITIES FAMILY AND SUPPORTED LIVING WAIVER
2672827896OTHERFLORIDAMEDICAID DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY BASED WAIVER NUMBER

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: 5/5/2024

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