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LATRENA M THOMAS
NPI 1760971923
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Active since May 03, 2018
14091 SUMMER BREEZE DR E, JACKSONVILLE, FL 32218(804) 502-5840(904) 485-8541 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Latrena M Thomas NPPES

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

LATRENA M THOMAS (NPI 1760971923) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Jacksonville, Florida, licensed in Florida (15IV043) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1760971923
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameLATRENA M THOMAS
Location Address14091 SUMMER BREEZE DR EJacksonville, FL 32218-8913
Mailing AddressPo Box 77581Jacksonville, FL 32226-7581 · (804) 502-5840 · Fax (904) 485-8541
Phone(804) 502-5840
Fax(904) 485-8541
Sole ProprietorYes
Enumeration DateMay 3, 2018
✔ NPI 1760971923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in FL · 15IV043
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
14091 SUMMER BREEZE DR E, Jacksonville, FL 32218
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Other Identifiers 1

Medicaid019341700FL

Other Providers at the Same Location NPPES 3

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

RODREA BROWN LPN
Licensed Practical Nurse
14091 SUMMER BREEZE DR E
JACKSONVILLE, FL 32218
Duval County (804) 502-5840
SHAKIRA RICHBURGH LPN
Licensed Practical Nurse
14091 SUMMER BREEZE DR E
JACKSONVILLE, FL 32218
Duval County (804) 502-5840
SHEQUILA THOMAS LPN
Licensed Practical Nurse
14091 SUMMER BREEZE DR E
JACKSONVILLE, FL 32218
Duval County (804) 502-5840

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 Latrena Thomas's NPI number?

The NPI number for Latrena Thomas is 1760971923. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Latrena Thomas located?

Latrena Thomas practices at 14091 Summer Breeze Dr E, Jacksonville, FL 32218. The listed phone number is (804) 502-5840.

What is Latrena Thomas's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Latrena Thomas was last updated on May 3, 2018. 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.