=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215886551
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOVING CARE BY DAESHA WAY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/28/2026
-----------------------------------------------------
Last Update Date | 01/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9220 ADAMS AVE
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32208-2208
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-600-8739
-----------------------------------------------------
Fax | 904-600-8739
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9220 ADAMS AVE
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32208-2208
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-600-8739
-----------------------------------------------------
Fax | 904-600-8739
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DAESHA WAY
-----------------------------------------------------
Credential | WAY
-----------------------------------------------------
Telephone | 904-600-8739
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------