Kaleb'S Room LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

KALEB'S ROOM LLC

Practice address

12172 Hayden Lakes Cir
Jacksonville, FL 32218-9068

Phone

(904) 649-2985

Fax

(904) 934-1012

NPI assigned

Sep 30, 2025

Organization subpart

No

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

Authorized official

Name

Lashander Simmons, LPN

Title

Owner

Phone

(904) 649-2985

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1144194630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9428 BAYMEADOWS RD STE 502",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567973",
            "telephone_number": "904-649-2985",
            "fax_number": "904-934-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12172 HAYDEN LAKES CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189068",
            "telephone_number": "904-649-2985",
            "fax_number": "904-934-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEB'S ROOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "LASHANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-649-2985",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127940800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Kaiuway, BACHELOR LEVEL
• Sylvia Sacon Kaiuway, CAP
• Yelena Kajdic, DNP, FNP-BC
• Eldin Kalac, PHARMD
• Hari Krishna Prasad Kalagara, MD
• Kalena Smith-Fulwiley, LLC
• Hammad A Kalim
• Alivia Kalin
• Angelia Kallen, RN
• Christopher James Kallinger, PA-C, MMS

• Personal Care Attendant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.