=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124787619
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SITTING BY ME, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2021
-----------------------------------------------------
Last Update Date | 03/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 365 JACKSON STREET GREENSBORO, FL 32330
-----------------------------------------------------
City | QUINCY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32351-1500
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-274-9303
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 263
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32330-0263
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-274-9303
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | RN/ADMINISTRATOR
-----------------------------------------------------
Name | KIMBERLY SMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 850-274-9303
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------