IndividualActive
Lacendia Mitchell
NPI 1578069209 · Child Intellectual and/or Developmental Disabilities Respite Care · Jacksonville, FL
Provider details
- NPI number
- 1578069209
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respite Care Facility
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11036 Lydia Estates Dr W
Jacksonville, FL 32218-6937
Phone: (904) 305-1608
Street-level locationGet directions
Mailing address
11036 Lydia Estates Dr W
Jacksonville, FL 32218-6937
Registry dates
- Enumerated
- 2018-04-02
- Last updated
- 2018-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.