EDITH BORT (NPI# 1003288499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003288499 |
| Entity Type | Individual |
| Full Name | EDITH BORT |
| Practice Address |
227 Woodbury Pines Cir Orlando FL 32828-9086 |
| Practice Telephone | 4077190496 |
| Practice Fax Number | 4072708300 |
| Mailing Telephone | 4077190496 |
| Mailing Fax Number | 4072708300 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906728 | FL | Nursing & Custodial Care Facilities |
| Street Address |
227 WOODBURY PINES CIR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32828-9086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057501 | Antonia Mejia | Social Worker | 15260 Sugargrove Way, Orlando, FL 32828 | 2018-06-22 |
| 1871087692 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3502 Avalon Park East Blvd, Orlando, FL 32828 | 2018-06-15 |
| 1386169738 | Ashley Nicole Wilkins | Specialist/Technologist | 2653 Wembleycross Way, Orlando, FL 32828 | 2017-08-07 |
| 1558812388 | Porta Nova Homemaker Companion Services, LLC | In Home Supportive Care | 515 Spring River Drive, Orlando, FL 32828 | 2016-10-17 |
| 1467908715 | Alexander Duque | Dentist | 785 N Alafaya Trail, Orlando, FL 32828 | 2016-08-28 |
| 1568819886 | Nicole Kircher | Behavioral Analyst | 757 Sterling Springs Rd, Orlando, FL 32828 | 2016-05-17 |
| 1477908556 | Sandra Maria Garcia | Speech-Language Pathologist | 4961 Atwood Dr, Orlando, FL 32828 | 2016-04-26 |
| 1821473380 | Sandra Ware | Physical Therapy Assistant | 498 Palm Springs Dr, Ste 345, Orlando, FL 32828 | 2015-07-27 |
| 1649674367 | Lisa M Keough | Occupational Therapist | 447 Bella Vida Blvd., Creative Speech Solutions & Therapy, Orlando, FL 32828 | 2014-10-09 |
| 1336549781 | Melissa Cossu | Developmental Therapist | 14428 Turning Leaf Dr, Orlando, FL 32828 | 2014-09-03 |
| Find all providers in zip 32828 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551884 | Christle Haven LLC | Custodial Care Facility | 2523 Leston Ct, Orlando, FL 32817-2614 | 2020-03-02 |
| 1942772520 | Angels of Jesus | Custodial Care Facility | 1404 N Observatory Dr, Orlando, FL 32818-5916 | 2018-12-20 |
| 1639678139 | Lise's Garden Afch, LLC | Custodial Care Facility | 1542 Providence Cir, Orlando, FL 32818-5708 | 2018-02-09 |
| 1821506585 | Have Faith Care Services | Custodial Care Facility | 927 S Goldwyn Ave Ste 117, Orlando, FL 32805-4389 | 2018-01-16 |
| 1144743733 | A Home With Tlc LLC | Custodial Care Facility | 4116 Lenox Blvd, Orlando, FL 32811-4134 | 2017-07-25 |
| 1659824357 | Marie Francois | Custodial Care Facility | 8655 Tarragon Dr, Orlando, FL 32825-3644 | 2016-07-28 |
| 1992106496 | Serenity Place Family Care Group Home | Custodial Care Facility | 2011 Carrington Dr, Orlando, FL 32807-5206 | 2014-09-16 |
| 1386045813 | Hermina Jean | Custodial Care Facility | 3502 Londonberry Blvd, Orlando, FL 32808-3629 | 2014-09-16 |
| 1790192979 | Serenity Adult Family Care Home LLC | Custodial Care Facility | 748 Mellowood Ave, Orlando, FL 32825-8077 | 2014-07-19 |
| 1043645716 | Allheart Board and Care | Custodial Care Facility | 2668 Logandale Dr, Orlando, FL 32817-4722 | 2013-09-12 |
| Find all providers in ORLANDO | ||||
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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.