Enhancing Lives in the Community, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ENHANCING LIVES IN THE COMMUNITY, LLC

Practice address

793 Blanding Blvd Ste H
Orange Park, FL 32065-5792

Phone

(190) 466-9715

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Vernessia Young-Reeves

Title

Owner

Phone

(190) 466-9715

Specialties & licenses 1

Addresses

Other names 1

• ENHANCING LIVES IN THE COMMUNITY, LLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1265022040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 BLANDING BLVD STE H",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655792",
            "telephone_number": "904-466-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 BLANDING BLVD STE H",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655792",
            "telephone_number": "190-466-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCING LIVES IN THE COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "YOUNG-REEVES",
        "authorized_official_first_name": "VERNESSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "190-466-9715",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "etlitc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "etlitc@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "793 Blanding Blvd Ste H",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320655792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ENHANCING LIVES IN THE COMMUNITY, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Emery, M.S., PH.D.
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• Empowering You, LLC
• Barbara Marie Engelkes, NHA, CNA
• Margaret Mary Ensell
• Brandi Amelia Epperson, APRN, FNP-C
• Kathryn Mince Eraso, MD
• Brian Stuart Ericksen, PT, DPT
• Sally Ericksen, OT

• Developmentally Disabled Services Day Training Agency in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.