KALEB'S ROOM LLC
NPI 1144194630
Technician - Personal Care Attendant in Jacksonville, FL

Active since September 30, 2025
12172 HAYDEN LAKES CIR, JACKSONVILLE, FL 32218(904) 649-2985(904) 934-1012 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaleb's Room Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALEB'S ROOM LLC (NPI 1144194630) is a healthcare organization registered as a personal care attendant in Jacksonville, Florida and active in the NPI registry since September 2025. The organization lists Lashander Simmons, Owner, as its authorized official.

NPPES Registry Identity

NPI1144194630
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameKALEB'S ROOM LLC
Location Address12172 HAYDEN LAKES CIRJacksonville, FL 32218-9068
Mailing Address9428 Baymeadows Rd Ste 502Jacksonville, FL 32256-7973 · (904) 649-2985 · Fax (904) 934-1012
Fax(904) 934-1012
Organization SubpartNo
Authorized OfficialLashander SimmonsOwner · (904) 649-2985
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
NPI 1144194630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedRespite CareTaxonomy 385H00000X
12172 HAYDEN LAKES CIR, Jacksonville, FL 32218

Other Identifiers 1

Medicaid127940800FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaleb's Room LLC's NPI number?

The NPI number for Kaleb's Room LLC is 1144194630. It was assigned to this organization in the NPPES registry on September 30, 2025.

Where is Kaleb's Room LLC located?

Kaleb's Room LLC is located at 12172 Hayden Lakes Cir, Jacksonville, FL 32218. The listed phone number is (904) 649-2985.

What is Kaleb's Room LLC's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kaleb's Room LLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.