L & S Support Services

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

L & S SUPPORT SERVICES

Practice address

12500 Lem Turner Rd
Jacksonville, FL 32218-2312

Phone

(904) 705-1938

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Stacieann JonesNPI 1366973455

Title

Executive Director

Phone

(267) 475-4090

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacieann Jones

  • Intellectual & Developmental Disabilities Psychologist
  • Willingboro, NJ
  • NPI 1366973455
  NPD Authorized official

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1225757792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 LEM TURNER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182312",
            "telephone_number": "904-705-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 LEM TURNER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182312",
            "telephone_number": "904-705-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & S SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STACIEANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-475-4090"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603236",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pearl Chu Kwong, MD PHD
• Wai P Kyaw, MBBS, MD
• Carl Walter Kyle, LMHC
• Michael Gardner Kynn, OD
• Oleksiy Kyrychenko, DO
• L Medtrans Inc
• L'Arche Harbor House, Inc.
• L&L Divine Community Services Inc
• L&L Total Health LLC
• La Assistant Services

• Adult Care Home Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.