Sharonda R. Hussey

LBN: Sharonda R. Hussey
Sharonda R. Hussey is an health care organization with primary practice located at 11501 Brian Lakes Dr , Jacksonville FL 32221-2849. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Sharonda R. Hussey can be contacted via phone (904) 229-1884, or through Hussey, Sharonda via phone (904) 229-1884.

Contact Information

Primary practice address
11501 Brian Lakes Dr Jacksonville FL 32221-2849
Phone: (904) 229-1884
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hussey, Sharonda
Phone: (904) 229-1884

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Florida
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X Florida

Profile Details

NPI number 1558736587
LBN Legal business name Sharonda R. Hussey
DBA Doing business as
Authorized official Hussey, Sharonda
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2015
Last updated Dec 2nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558736587 NPPES
Florida MEDICAID 015805400

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