PRECIOUS LIFE CARE PRIVATE DUTY (NPI# 1053845875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053845875 |
| Entity Type | Organization |
| Organization Name | PRECIOUS LIFE CARE PRIVATE DUTY |
| Practice Address |
1104 Bartow Rd Lakeland FL 33801-5850 |
| Mailing Address |
Po Box 24874 Lakeland FL 33802-4874 |
| Practice Telephone | 8638129570 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Authorized Official Name | BRITTANY BROWN (CERTIFED NURSE ASSISTANT/OWNER) |
| Authorized Official Telephone | 8638129570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1104 BARTOW RD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-5850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243105 | K.c. Home Health LLC | Home Health | 6635 S Florida Ave # C-1, Lakeland, FL 33813-3354 | 2020-07-27 |
| 1184264574 | Raquelita Dejesus | Home Health | 5545 Wilmington Cir Apt 207, Lakeland, FL 33813-2769 | 2020-01-14 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1316502735 | Tabitha Leondra Bailey | Home Health | 1710 Kendrick Ln, Lakeland, FL 33805-2506 | 2019-05-01 |
| 1346708161 | Corentheia Ann Milton | Home Health | 617 W Robson St, Lakeland, FL 33805-2138 | 2019-03-11 |
| 1679044234 | Flamingo Homecare LLC | Home Health | 1215 Duncan Ave, Lakeland, FL 33801-5923 | 2018-12-07 |
| 1679066989 | Heavenly Hearts Home Care Services, LLC | Home Health | 3567 Manor Loop, Lakeland, FL 33810-1382 | 2018-06-11 |
| 1235635681 | Ariel Kyndal Fagins | Home Health | 1725 N Webster Ave, Lakeland, FL 33805-2625 | 2018-04-04 |
| 1851802284 | Sonya Branch | Home Health | 616 Emma St, Lakeland, FL 33815-1418 | 2017-10-12 |
| 1144754961 | Two Hearts One Love | Home Health | 1245 Edgewater Dr, Lakeland, FL 33805-4700 | 2017-04-18 |
| Find all providers in LAKELAND | ||||
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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.