=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821955113
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LNJ CARES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2026
-----------------------------------------------------
Last Update Date | 01/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24360 SW 8TH PL
-----------------------------------------------------
City | NEWBERRY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32669-4478
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-566-7471
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24360 SW 8TH PL
-----------------------------------------------------
City | NEWBERRY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32669-4478
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-566-7471
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RODNEY JOHNSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 706-566-7471
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------