Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaleb's Room LLC

Organization In Home Supportive Care Agency · NPI 1144194630

Kaleb's Room LLC is an In Home Supportive Care Agency in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12172 Hayden Lakes Cir
Jacksonville, FL 32218-9068
Phone: (904) 649-2985
Fax: (904) 934-1012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X
In Home Supportive Care Agency Taxonomy 253Z00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1144194630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lashander Simmons — Owner · (904) 649-2985
NPI enumeratedSeptember 30, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing address9428 Baymeadows Rd Ste 502, Jacksonville, FL 32256-7973

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