Organization Active NPI

Mildred Lane Home Care Services LLC.

  • In Home Supportive Care Agency
  • Lakeland, FL
National Provider Identifier
1720869159
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MILDRED LANE HOME CARE SERVICES LLC.
Practice address
1401 Robert King High Dr
Lakeland, FL 33805-2643
Phone
(863) 409-7148
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Jamia GilmoreNPI 1194392423
Title
Owner/Administrator
Phone
(863) 409-7148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1401 Robert King High Dr
Lakeland, FL 33805-2643

Mailing address

1401 Robert King High Dr
Lakeland, FL 33805-2643
Phone (863) 409-7148

National Provider Directory

National Provider Directory
Tax ID family
Mildred Lane Home Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1720869159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ROBERT KING HIGH DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052643",
            "telephone_number": "863-409-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROBERT KING HIGH DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052643",
            "telephone_number": "863-409-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDRED LANE HOME CARE SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "JAMIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "863-409-7148"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.