Hendrix, Smith, & Kirby LLC D/B/a Eastside Care Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5425 Issued in FL

Legal business name

HENDRIX, SMITH, & KIRBY LLC D/B/A EASTSIDE CARE ALF

Doing business as

Eastside Care, ALF

Practice address

152 SE Defender Dr
Lake City, FL 32025-4990

Phone

(386) 755-4487

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

Jessica Murphy

Title

Regional Area Administrator

Phone

(386) 688-9318

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Eastside Care, ALF Doing business as

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1467878454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SE DEFENDER DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254990",
            "telephone_number": "386-755-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SE DEFENDER DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254990",
            "telephone_number": "386-755-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRIX, SMITH, & KIRBY LLC D/B/A EASTSIDE CARE ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REGIONAL AREA ADMINISTRATOR",
        "authorized_official_telephone_number": "386-688-9318"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108713000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111674400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142186700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Care, ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronnie Hembree
• Mary Christine Hencher, PHARMD
• Beth Harris Henderson, APRN
• Devon L Henderson, RN
• Laretha Faye Hendon
• Henry and Rilla White Youth Foundation Inc.
• Henry and Rilla White Youth Foundation, Inc.
• Henry and Rilla White Youth Foundation, Inc.
• Jasmin Henry-Fuller
• Edmund Henry Jr., RPN

• Assisted Living Facility in Lake City, FL
• Providers in Lake City, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.