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KAYSHAUN HARRIS
NPI 1356011696
Technician - Personal Care Attendant in Jacksonville, FL

Active since September 17, 2021
10574 LAKE HOLLOW LN, JACKSONVILLE, FL 32257(904) 866-9063(904) 866-9063 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kayshaun Harris NPPES

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

KAYSHAUN HARRIS (NPI 1356011696) is an individual personal care attendant in Jacksonville, Florida and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1356011696
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKAYSHAUN HARRIS
Location Address10574 LAKE HOLLOW LNJacksonville, FL 32257-3788
Mailing Address10574 Lake Hollow LnJacksonville, FL 32257-3788 · (904) 866-9063 · Fax (904) 866-9063
Phone(904) 866-9063
Fax(904) 866-9063
Sole ProprietorNo
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1356011696 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 ListedChore ProviderTaxonomy 372500000X
Also ListedHomemakerTaxonomy 376J00000X
10574 LAKE HOLLOW LN, Jacksonville, FL 32257
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARRIS IN HOME SUPPORTIVE CARE
Homemaker
10574 LAKE HOLLOW LN
JACKSONVILLE, FL 32257
Duval County (904) 294-4531

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 Kayshaun Harris's NPI number?

The NPI number for Kayshaun Harris is 1356011696. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Kayshaun Harris located?

Kayshaun Harris practices at 10574 Lake Hollow Ln, Jacksonville, FL 32257. The listed phone number is (904) 866-9063.

What is Kayshaun Harris'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 Kayshaun Harris was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.