Individual provider Active NPI

Sanquinitta Sconiers Johnson

  • In Home Supportive Care Agency
  • Lakeland, FL
National Provider Identifier
1164066957
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
722 Saratoga Ave
Lakeland, FL 33815-1279
Phone
(863) 934-2926
NPI assigned
Nov 5, 2019
Reactivated
Aug 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

722 Saratoga Ave
Lakeland, FL 33815-1279

Mailing address

722 Saratoga Ave
Lakeland, FL 33815-1279

Other identifiers 1

IdentifierTypeStateIssuer
96MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanergy Administrative and Home Care Services Developmental Disabilities Current Accepting new patients
Sanergy Administrative and Home Care Services In Home Supportive Care Current Accepting new patients
Sanergy Transportation Services Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1164066957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 SARATOGA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338151279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 SARATOGA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338151279",
            "telephone_number": "863-934-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCONIERS JOHNSON",
        "first_name": "SANQUINITTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "deactivation_date": "2019-11-05",
        "reactivation_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.