Life's Essence Adult Day Services, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9382 Issued in FL

Legal business name

LIFE'S ESSENCE ADULT DAY SERVICES, INC.

Doing business as

L.E.A.D. Services

Practice address

1068 Arlington Rd N
Jacksonville, FL 32211-5811

Phone

(904) 503-2244

Fax

(904) 503-2284

NPI assigned

Jan 4, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bercline Dorcelus, RNNPI 1669911418

Title

Center Director

Phone

(904) 503-2244

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• L.E.A.D. Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bercline Dorcelus, RN, BSN

  • Administrator Registered Nurse
  • Jacksonville, FL
  • NPI 1669911418
  Authorized official Same address or phone

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1245747930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 ARLINGTON RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115811",
            "telephone_number": "904-503-2244",
            "fax_number": "904-503-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 ARLINGTON RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115811",
            "telephone_number": "904-503-2244",
            "fax_number": "904-503-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S ESSENCE ADULT DAY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DORCELUS",
        "authorized_official_first_name": "BERCLINE",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "904-503-2244",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9382",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "9382",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "9382",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.E.A.D. Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.