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Gentle Love and Care LLC

Organization Active NPI Developmentally Disabled Services Day Training Agency · Jasper, FL

NPI 1336568435 · NPPES record last updated May 24, 2023

Key facts

NPI
1336568435
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
GENTLE LOVE AND CARE LLC
Practice address
1150 US Highway 41 NW Ste 11
Jasper, FL 32052-5889
Phone
(386) 292-6563
Fax
(866) 462-5823
NPI assigned
Apr 16, 2014
Organization subpart
No

Authorized official

Name
Ms. Latia Lumpkin, C.N.A
Title
Ceo
Phone
(386) 292-6563

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Gentle Love and Care LLC (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X FL
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
Transportation Broker 347E00000X
Adult Companion
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 372600000X
Homemaker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

1150 US Highway 41 NW Ste 11
Jasper, FL 32052-5889

Mailing address

P.O. Box 1782
Jasper, FL 32052
Phone (386) 292-6563

Other practice location 1

10865 NW 37th St
Jasper, FL 32052
Phone (386) 292-6563

Other identifiers

IdentifierTypeStateIssuer
004845300MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2023.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1336568435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1782",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "32052",
            "telephone_number": "386-292-6563",
            "fax_number": "386-855-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 US HIGHWAY 41 NW STE 11",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320525889",
            "telephone_number": "386-292-6563",
            "fax_number": "866-462-5823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10865 NW 37th St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "FL",
            "postal_code": "32052",
            "country_code": "US",
            "telephone_number": "386-292-6563",
            "fax_number": "386-855-8056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENTLE LOVE AND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "LUMPKIN",
        "authorized_official_first_name": "LATIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-292-6563",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.N.A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004845300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, FL

All providers in Jasper, FL · Developmentally Disabled Services Day Training Agency in Florida

Sources for this page

Verify at the official NPI Registry.