Latreese Jackson – Home Health Aide in Dundee, FL

Key facts

NPI: 1508259367
Entity type: Individual (NPI type 1)
Primary specialty: Home Health Aide 374U00000X
Practice address: 2049 Amber Sweet Cir
Dundee, FL 33838-4271
Phone: (407) 701-8201
NPI assigned: Mar 17, 2015
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Divine Purpose With Care LLC Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dundee, FL · NPI 1972071082

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Divine Purpose With Care LLC		Current since Dec 6, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	Primary
Homemaker	376J00000X
Home Health Aide	374U00000X	Yes
Adult Companion	372600000X

Addresses

Primary practice location

2049 Amber Sweet Cir
Dundee, FL 33838-4271

Mailing address

2049 Amber Sweet Cir
Dundee, FL 33838-4271
Phone (407) 701-8201

Other providers in Dundee, FL

All providers in Dundee, FL · Home Health Aide in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.