OrganizationActive
Authentic Minds LLC
NPI 1659899565 · Child Intellectual and/or Developmental Disabilities Respite Care · Lehigh Acres, FL
Provider details
- NPI number
- 1659899565
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Shiquitta Mathis, Administrator(239) 271-5909
Specialties & taxonomies
Respite Care Facility
Profile Score
Established profile(69/100 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
100% 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
718 Baxter Avenue S
Lehigh Acres, FL 33974
Phone: (239) 271-5909
Street-level locationGet directions
Mailing address
718 Baxter Ave S
Lehigh Acres, FL 33974-9747
Registry dates
- Enumerated
- 2017-08-31
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.