SUWANNEE VALLEY COMMUNITY COORDINATED CHILDCARE, INC
NPI 1609981539
Local Education Agency (LEA) in Lake City, FL

Active since August 20, 2006CLIA 10D2132387 · Waiver
236 SW COLUMBIA AVE, LAKE CITY, FL 32025(386) 754-2222(386) 754-2220 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Local Education Agency (LEA)
  • CLIA Number: 10D2132387
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 06-18-2027

About SUWANNEE VALLEY COMMUNITY COORDINATED CHILDCARE, INC

This page provides the complete NPI Profile along with additional information for Suwannee Valley Community Coordinated Childcare, Inc, a provider established in Lake City, Florida operating as a Local Education Agency (lea). The healthcare provider is registered in the NPI registry with number 1609981539 assigned on August 2006. The practitioner's primary taxonomy code is 251300000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mrs. Michele Anne Ward C.e.o. (Executive Director)

NPI
1609981539 Verify this NPI
Provider Name
SUWANNEE VALLEY COMMUNITY COORDINATED CHILDCARE, INC
Entity Type
Organization
Location Address
236 SW COLUMBIA AVE LAKE CITY, FL 32025
Location Phone
(386) 754-2222
Location Fax
(386) 754-2220
Mailing Address
236 SW COLUMBIA AVE LAKE CITY, FL 32025
Mailing Phone
(386) 754-2222
Mailing Fax
(386) 754-2220
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2006
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Local Education Agency (LEA)

Taxonomy Code
251300000X
Type
Agencies
License State
FL
Taxonomy Description
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MICHELE ANNE WARD C.E.O.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(386) 754-2222

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2132387
Facility Type
School/Student Health Service
Certificate Effective Date
June 19, 2025
Certificate Expiration Date
June 18, 2027
Laboratory Director
MARIA BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Suwannee Valley Community Coordinated Childcare, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609981539, enumerated as an "organization" on August 20, 2006.

The provider is located at 236 SW COLUMBIA AVE LAKE CITY, FL 32025 and the phone number is (386) 754-2222.

Local Education Agency (LEA) with taxonomy code 251300000X.