MEDICARE: LIL' MAMA'S TOTAL CARE SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		FL
2	171W00000X	Contractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447239991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIL' MAMA'S TOTAL CARE SERVICE

Provider Business Mailing Address
First Line	:	PO BOX 26846
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32226-6846
Country	:	US
Telephone Number	:	904-228-7761
Fax Number	:	866-612-3472

Provider Business Practice Location Address
First Line	:	3955 WINDY GALE DR N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-4423
Country	:	US
Telephone Number	:	904-228-7761
Fax Number	:	866-612-3472

Authorized Official
Title or Position	:	REGIONAL MANAGER/OWNER
Name	:	YOLANDA DENISE AUSTIN-JAMES
Credential	:
Telephone Number	:	904-228-7761

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	09/29/2011

Similar Medicare Providers

1174549034 — DR. THOMAS JAY NEILSON M.D.
Practice Location Address:

500 WATER ST # J-290
JACKSONVILLE, FL
32202-4423

Practice Phone: 904-359-7645
Practice Fax: 904-359-3313

1417384926 — ENLIGHTENED THERAPIES
Practice Location Address:

14454 BASILHAM LN
JACKSONVILLE, FL
32258-4423

Practice Phone: 904-571-5230
Practice Fax: 904-571-5230

1033928114 — BLANCA JOYMAR MCCALL
Practice Location Address:

145 HERON BAY RD
JACKSONVILLE, FL
32218-3595

Practice Phone: 904-470-6900
Practice Fax:

1780451922 — DR. LUIS ARMANDO ALMODOVAR RAMOS MD
Practice Location Address:

1215 DUNN AVE
JACKSONVILLE, FL
32218-6330

Practice Phone: 904-696-7462
Practice Fax: 833-941-1583

1639849490 — RYAN C CASPOLI PA-C
Practice Location Address:

1215 DUNN AVE
JACKSONVILLE, FL
32218-6330

Practice Phone: 904-757-1998
Practice Fax: 833-941-1583

1659986339 — MRS. NICKISHA KRISTINA JOYCE PA-C
Practice Location Address:

1215 DUNN AVE
JACKSONVILLE, FL
32218-6330

Practice Phone: 904-757-1998
Practice Fax: 833-941-1583

Directions to “LIL' MAMA'S TOTAL CARE SERVICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.