Lil' Mama'S Total Care Service

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

LIL' MAMA'S TOTAL CARE SERVICE

Practice address

3955 Windy Gale Dr N
Jacksonville, FL 32218-4423

Phone

(904) 228-7761

Fax

(866) 612-3472

NPI assigned

Jan 12, 2006

Organization subpart

No

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

Authorized official

Name

Yolanda Denise Austin-James

Title

Regional Manager/Owner

Phone

(904) 228-7761

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1447239991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26846",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322266846",
            "telephone_number": "904-228-7761",
            "fax_number": "866-612-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 WINDY GALE DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184423",
            "telephone_number": "904-228-7761",
            "fax_number": "866-612-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL' MAMA'S TOTAL CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "AUSTIN-JAMES",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "REGIONAL MANAGER/OWNER",
        "authorized_official_telephone_number": "904-228-7761"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6908918 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rishyah Lightner
• D'Shantis Ray'Ana Lightsey
• Alison Montgomery Ligmanowski, MPT
• Michael Andrew Ligmanowski, ATC
• Dritan Likollari, APRN
• Lonnie Liles, COTA
• Tiffany Liles, APRN
• Darnesha J Lillard, LPN
• Michala Ray-Lynn Lillard
• Joseph T Lillia

• Contractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.