Active NPI
Laquita Green-Norflee
- Attendant Care Provider
- Eustis, FL
National Provider Identifier
1245709138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 636 Palmetto St
Eustis, FL 32726-3123 - Phone
- (352) 602-1175
- NPI assigned
- Nov 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
636 Palmetto St
Eustis, FL 32726-3123
Mailing address
1707 Hollywood Ave
Eustis, FL 32726-3111
Phone (352) 602-1175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116294300 | Medicaid | FL |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maggies Haven, LLC | In Home Supportive Care | Current | Accepting new patients |
Organizations & group practices 1
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": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1245709138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 HOLLYWOOD AVE",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327263111",
"telephone_number": "352-602-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 PALMETTO ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327263123",
"telephone_number": "352-602-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN-NORFLEE",
"first_name": "LAQUITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116294300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.