ISLAND COAST PRIMARY CARE PROJECT, INC. (NPI# 1003198565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003198565 |
| Entity Type | Organization |
| Organization Name | ISLAND COAST PRIMARY CARE PROJECT, INC. |
| Practice Address |
4150 Ford Street Ext Ste 1b Fort Myers FL 33916-9498 |
| Practice Telephone | 2394678375 |
| Practice Fax Number | 2394617639 |
| Mailing Telephone | 2394618375 |
| Mailing Fax Number | 2394617639 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |
| Authorized Official Name | CATHY JONES (PROGRAM ADMINISTRATOR) |
| Authorized Official Telephone | 2394618375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154396372 | Island Coast Primary Care Project, Inc. | Clinic/Center | 9800 S Healthpark Dr, # 410, Fort Myers, FL 33908-7603 | 2006-02-21 |
| Street Address |
4150 FORD STREET EXT STE 1B |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-9498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776671 | My Extended Family Home Care | Skilled Nursing Facility | 4766 Golden Gate Pkwy Ste 4, Naples, FL 34116-6935 | 2020-07-04 |
| 1538786173 | Magical Dreams Academy LLC | Skilled Nursing Facility | 966 Sw 82nd Ave, Miami, FL 33144-4271 | 2020-06-30 |
| 1427685692 | Fkppec1, Inc. | Skilled Nursing Facility | 5547 W Oakland Park Blvd, Lauderhill, FL 33313-1411 | 2020-03-26 |
| 1649807215 | Fkppec2, Inc. | Skilled Nursing Facility | 6515 Taft St, Hollywood, FL 33024-4008 | 2020-03-24 |
| 1285261867 | Fkppec3, Inc. | Skilled Nursing Facility | 8681 Coral Way, Miami, FL 33155-2337 | 2020-03-24 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1336794387 | South Florida Ppec Services, LLC | Skilled Nursing Facility | 15383 Nw 7th Ave Ste B, Miami, FL 33169-6205 | 2019-08-06 |
| 1710549019 | Caring Hearts Nursing Services LLC | Skilled Nursing Facility | 5700 Lake Worth Rd Ste 209-4, Greenacres, FL 33463-3270 | 2019-07-08 |
| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1871054254 | Happy Kids Ppec Foundation | Skilled Nursing Facility | 4756 Nw 167th St, Miami Lakes, FL 33014-6427 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.