EVANGELIN'S AFCH, LLC (NPI# 1033553276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033553276 |
| Entity Type | Organization |
| Organization Name | EVANGELIN'S AFCH, LLC |
| Other Organization Name | EVANGELIN GUINO-O COMIGHOD AFCH |
| Practice Address |
1529 Clark St Clearwater FL 33755-3510 |
| Practice Telephone | 7274228793 |
| Mailing Telephone | 7274228793 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | MISS EVANGELIN GUINO-O COMIGHOD (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7274228793 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 10000128200 | 05 |
| Other Name | Type Code |
|---|---|
| Evangelin Guino-o Comighod Afch | Doing Business As Name - Organization |
| Street Address |
1529 CLARK ST |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33755-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861858987 | Leslie S Coley | Specialist | 1484 Gulf To Bay Blvd Unit 4, Clearwater, FL 33755 | 2016-01-05 |
| 1336567981 | Trish French | Social Worker | 117 N Betty Ln, Clearwater, FL 33755 | 2014-04-01 |
| 1255629986 | Gulf Coast Occupational & Wellness Center, P.C. | Clinic/Center | 1407 Gulf -to-bay Blvd., Clearwater, FL 33755 | 2011-07-15 |
| 1346560729 | Narconon Suncoast, Inc | Substance Abuse Rehabilitation Facility | 1390 Sunset Point Road, Clearwater, FL 33755 | 2010-06-08 |
| 1588994503 | Rose Mary Baker | Custodial Care Facility | 1305 Woodbine St, Clearwater, FL 33755 | 2010-01-14 |
| 1407185317 | Ade Kanmbi Alaba | Pharmacist | 1438 Gulf-to-bay Blvd, Clearwater, FL 33755 | 2009-12-24 |
| 1184706921 | Brandy Jo Jennings | Dental Hygienist | 1455 Sunset Point Road, Clearwater, FL 33755 | 2006-10-20 |
| 1922013408 | Hays S Estes Dpt Pllc | Clinic/Center | 1661 Rainbow Dr, Clearwater, FL 33755 | 2006-07-30 |
| 1932145323 | Eric Isaac Egozi | Plastic Surgery | 1608 Gulf To Bay Blvd, Clearwater, FL 33755 | 2006-06-22 |
| 1053304022 | Robert Donnelly | Orthopaedic Surgery | 1660 Gulf To Bay Blvd, Clearwater, FL 33755 | 2005-08-25 |
| Find all providers in zip 33755 | ||||
| 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 |
|---|---|---|---|---|
| 1295160430 | Katrina Robinson-baker | Custodial Care Facility | 1553 Clark St, Clearwater, FL 33755-3510 | 2013-09-06 |
| 1619318318 | Lisa Davis | Custodial Care Facility | 1114 Engman St, Clearwater, FL 33755-3219 | 2013-07-10 |
| 1588994503 | Rose Mary Baker | Custodial Care Facility | 1305 Woodbine St, Clearwater, FL 33755 | 2010-01-14 |
| 1871025452 | Gloria's Place On The Harbor I | Custodial Care Facility | 1710 Harbor Dr, Clearwater, FL 33755-1825 | 2017-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
| 1881293843 | Inspire Family Home Care LLC. | Custodial Care Facility | 566 Forsyth Creek Ct, Apopka, FL 32712-3318 | 2020-10-21 |
| 1336747658 | Eddrena Thornton | Custodial Care Facility | 2233 Bluebird Ave, Bartow, FL 33830-2953 | 2020-10-09 |
| 1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
| 1568077469 | Titilayo M Dipe | Custodial Care Facility | 11215 Gold Compass St, Gibsonton, FL 33534-5698 | 2020-09-09 |
| 1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
| 1396354395 | Unique Adult Family Care Home Inc. | Custodial Care Facility | 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 | 2020-07-24 |
| 1790301687 | Nancy Isidor | Custodial Care Facility | 1728 Burnham Ct, Clermont, FL 34714-8048 | 2020-06-17 |
| 1326662206 | Yuwaret Haines | Custodial Care Facility | 13566 Rudi Loop, Spring Hill, FL 34609-7964 | 2020-06-05 |
| 1245854686 | Yves Carmen Dorsainvil | Custodial Care Facility | 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33755 |
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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.