Ykkaeb Community Care Center Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YKKAEB COMMUNITY CARE CENTER INC.

Practice address

13245 Atlantic Blvd # 205
Jacksonville, FL 32225-7121

Phone

(904) 203-9258

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Mitchell, B.A., CBHCMNPI 1235553538

Title

Ceo

Phone

(904) 203-9258

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Lisa Mitchell

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1235553538
  NPD Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1902536899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD # 205",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257121",
            "telephone_number": "904-203-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD # 205",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257121",
            "telephone_number": "904-203-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YKKAEB COMMUNITY CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-203-9258",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A., CBHCM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235553538",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elsie Marie Yeykal, D.O.
• Donna Yi
• Emily Yi
• Brandi Yick, PTA
• Daniel Yip, MD
• Ykkaeb Health - Care Center Inc.
• Ylonda Taylor
• Andrea Rae Yoder-Nguyen, M.D., PH.D.
• Mary Katherine Yoder, M.D.
• Suzanne Russ Yoder, MD

• Community/Behavioral Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Behavioral Health Agency in Florida

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