Organization Active NPI

Lucid Healthcare Services LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1023718426
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUCID HEALTHCARE SERVICES LLC
Practice address
6620 Southpoint Dr S Ste 450C
Jacksonville, FL 32216-0912
Phone
(904) 599-9980
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberley Linacra Candie Law, RN
Title
Director of Nursing / Co-Owner
Phone
(904) 599-9980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6620 Southpoint Dr S Ste 450C
Jacksonville, FL 32216-0912

Mailing address

6620 Southpoint Dr S Ste 450C
Jacksonville, FL 32216-0912
Phone (904) 599-9980

National Provider Directory

National Provider Directory

Locations

6620 Southpoint Dr S
Ste 450C
Jacksonville, FL 32216
Phone (703) 618-9668

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1023718426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 SOUTHPOINT DR S STE 450C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160912",
            "telephone_number": "904-599-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 SOUTHPOINT DR S STE 450C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160912",
            "telephone_number": "904-599-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "LINACRA CANDIE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING / CO-OWNER",
        "authorized_official_telephone_number": "904-599-9980",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.