MEDICARE: KEMISHA LATOYA GOINGS

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	372600000X	Adult Companion
2	376G00000X	Nursing Home Administrator
3	376J00000X	Homemaker	238188	FL
4	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1073147914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEMISHA LATOYA GOINGS

Provider Business Mailing Address
First Line	:	2279 W 2ND ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6906
Country	:	US
Telephone Number	:	850-851-6363
Fax Number	:

Provider Business Practice Location Address
First Line	:	640 HARRINGTON LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-1246
Country	:	US
Telephone Number	:	850-851-6363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2020
Last Update Date	:	08/26/2025

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Directions to “ KEMISHA LATOYA GOINGS ” Practice Location

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