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LATRALL SIMON
NPI 1679017206
Home Health Aide in Jacksonville, FL

Active since December 16, 2016
12458 CONDOR DR, JACKSONVILLE, FL 32223(904) 508-2687(904) 379-5457 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Latrall Simon NPPES

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

LATRALL SIMON (NPI 1679017206) is an individual home health aide in Jacksonville, Florida and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1679017206
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameLATRALL SIMON
Location Address12458 CONDOR DRJacksonville, FL 32223-3711
Mailing Address12458 Condor DrJacksonville, FL 32223-3711 · (904) 508-2687 · Fax (904) 379-5457
Phone(904) 508-2687
Fax(904) 379-5457
Sole ProprietorYes
Enumeration DateDecember 16, 2016
Last NPPES UpdateOctober 3, 2017
✔ NPI 1679017206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
12458 CONDOR DR, Jacksonville, FL 32223
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Other Identifiers 1

Medicaid001477397FL

Other Providers at the Same Location NPPES

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

SIMON COMPANION AND HOMEMAKING
Home Health
12458 CONDOR DR
JACKSONVILLE, FL 32223
Duval County (904) 508-2687

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 Latrall Simon's NPI number?

The NPI number for Latrall Simon is 1679017206. It was assigned to this individual provider in the NPPES registry on December 16, 2016.

Where is Latrall Simon located?

Latrall Simon practices at 12458 Condor Dr, Jacksonville, FL 32223. The listed phone number is (904) 508-2687.

What is Latrall Simon's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Latrall Simon was last updated on October 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.