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EXTENDED FAMILY OF NORTH FLORIDA LLC NPI 1487135620


NPI Information

NPI: 1487135620
Provider Name: EXTENDED FAMILY OF NORTH FLORIDA, LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
8 REGENT LN
PALM COAST, FL
ZIP 32164
Phone: (386) 315-1260
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EXTENDED FAMILY OF NORTH FLORIDA, LLC is a developmental disabilities clinic center in Palm Coast, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). EXTENDED FAMILY OF NORTH FLORIDA, LLC NPI is 1487135620. The provider is registered as an organization entity type.

The provider's business location address is:

8 REGENT LN
PALM COAST, FL
ZIP 32164-638
Phone: (386) 315-1260
Fax: (386) 401-2467

The provider's authorized official is Lily Michelle King .
The authorized official title is Owner and has the following contact phone number (386) 315-1260.

The enumeration date for this NPI number is 8/26/2018 and was last updated on 11/3/2018.


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 Number License State Primary
1385H00000XRespite CareNo
2163W00000XRegistered NurseNo
3164W00000XLicensed Practical NurseNo
4251E00000XHome HealthNo
5253Z00000XIn Home Supportive CareNo
6314000000XSkilled Nursing FacilityNo
7320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
8320700000XResidential Treatment Facility, Physical DisabilitiesNo
9320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
10347C00000XPrivate VehicleNo
11372600000XAdult CompanionNo
123747P1801XTechnicianPersonal Care AttendantNo
13374U00000XHome Health AideNo
14376J00000XHomemakerNo
15261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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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