Special Methods In Life Enrichment Services Llc

LBN: Special Methods In Life Enrichment Services Llc
Special Methods In Life Enrichment Services Llc is an health care organization with primary practice located at 7187 Overland Park Blvd E , Jacksonville FL 32244-4254. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Home Health is the primary health care specialty. Special Methods In Life Enrichment Services Llc can be contacted via phone (904) 418-1440, or through Hathorn, Shakyna R via phone (904) 418-1440.

Contact Information

Primary practice address
7187 Overland Park Blvd E Jacksonville FL 32244-4254
Phone: (904) 418-1440
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hathorn, Shakyna R
Phone: (904) 418-1440

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1336602093
LBN Legal business name Special Methods In Life Enrichment Services Llc
DBA Doing business as
Authorized official Hathorn, Shakyna R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2019
Last updated Apr 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336602093 NPPES
Florida MEDICAID 104041100
Florida MEDICAID 120201500

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