Individual provider Active NPI

Lenora Mazon, MMA

  • Home Health Aide
  • Havana, FL
National Provider Identifier
1619430246
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
307A S Main St
Havana, FL 32333-2007
Phone
(850) 616-5005
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X FL
Developmentally Disabled Services Day Training Agency 251C00000X FL
In Home Supportive Care Agency 253Z00000X FL
Private Vehicle 347C00000X FL
Adult Companion 372600000X FL
Homemaker 376J00000X FL
Respite Care 385H00000X FL
Child Physical Disabilities Respite Care 385HR2065X FL
Home Health Aide 374U00000X FL Primary

Addresses

Primary practice location

307A S Main St
Havana, FL 32333-2007

Mailing address

211 E 10TH Ave
Havana, FL 32333-1915
Phone (850) 616-5005

Other identifiers 1

IdentifierTypeStateIssuer
0401MedicaidFL

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
L&M Smith'S Cares for All, Inc Driver CurrentSince Sep 1, 2019 Accepting new patients
Nip It With Love Day Training, Developmentally Disabled Services Current Accepting new patients
Lenora Mazon Day Training, Developmentally Disabled Services Past Accepting new patients

Locations

307 S Main St
Unit A
Havana, FL 32333
Phone (352) 318-9681

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1619430246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 10TH AVE",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323331915",
            "telephone_number": "850-616-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307A S MAIN ST",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323332007",
            "telephone_number": "850-616-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZON",
        "first_name": "LENORA",
        "credential": "MMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.