EDWARD JEROME PORTER (NPI# 1104368851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104368851 |
| Entity Type | Individual |
| Full Name | EDWARD JEROME PORTER |
| Credential | RN |
| Practice Address |
2925 Nw 4th Ave Ocala FL 34475-2645 |
| Practice Telephone | 3522584015 |
| Practice Fax Number | 2155596336 |
| Mailing Telephone | 3522584015 |
| Mailing Fax Number | 2155596336 |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
2681892 | FL | Nursing Service Providers |
| N | 372600000X | Adult Companion | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 679698296 | 05 | |
| FL | 016981800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821120130 | Edward James Porter | Chiropractor | 20 E. J St., Deer Park, WA 99006 | 2007-03-12 |
| 1881638542 | Edward M Porter | Family Medicine | 412 E Mckinney St, Neosho, MO 64850-1913 | 2006-06-15 |
| 1528550167 | Edward Porter | Case Manager/Care Coordinator | 2617 General Pershing Blvd, Oklahoma City, OK 73107 | 2018-05-30 |
| 1891898730 | Edward I Porter | Counselor | 5500 Armstrong Road, Battle Creek Vamc, Battle Creek, MI 49071 | 2006-09-06 |
| Street Address |
2925 NW 4TH AVE |
| City | OCALA |
| State | FL |
| Zip Code | 34475-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255562070 | Heartfelt Services, Inc. | Local Education Agency (LEA) | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2009-07-28 |
| 1750865879 | Specialty Care Services Inc | Clinic/Center | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2018-09-25 |
| 1952885147 | Specialty Care Services Inc | Clinic/Center | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2018-09-24 |
| 1760838957 | Specialty Care Services, Inc. | Assisted Living Facility | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2016-05-06 |
| 1891116778 | Specialty Care Services Inc | In Home Supportive Care | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2013-12-19 |
| 1164862967 | Heartfelt Services, Inc. | Assisted Living Facility | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508342122 | Gallo Enterprises | Non-emergency Medical Transport (VAN) | 3951 Nw Blitchton Road, Ocala, FL 34475 | 2018-07-17 |
| 1376059642 | Samantha Denise Gray | Behavior Technician | 3856 W Anthony Rd, Ocala, FL 34475 | 2017-12-21 |
| 1487160008 | Leslie Grace Hemp | Behavior Technician | 3856 West Anthony Rd, Ocala, FL 34475 | 2017-12-19 |
| 1154855005 | Homehealth | Home Health | 1717 Nw Pine Avenue, Ocala, FL 34475 | 2017-04-18 |
| 1356883672 | Fifth Circuit Pulic Guardian Corp. | Case Management | 110 Nw 1st St, Courthouse, Ocala, FL 34475 | 2016-11-17 |
| 1003295940 | Open Arms | Home Health Aide | 6775 Nw 6th Ave, Ocala, FL 34475 | 2015-05-26 |
| 1902206121 | Jessica Beylotte | Home Health | 100 Nw 23rd Ave Apt 1101, Ocala, FL 34475 | 2014-08-25 |
| 1306101472 | Shywhann Denise Gray | Licensed Practical Nurse | 2418nw 18th St., Ocala, FL 34475 | 2012-07-05 |
| 1831327162 | Wendy Dawn Sprouse | Counselor | 717 Martin Luther King Jr Avenue, Ocala, FL 34475 | 2009-06-25 |
| 1083835128 | Leslie Therese Shutack | Physical Therapy Assistant | 6658 Nw 4th Ave, Ocala, FL 34475 | 2007-05-02 |
| Find all providers in zip 34475 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558920173 | Shepherd's Voice Ministries | Registered Nurse | 1379 Ne 51st Loop, Ocala, FL 34479-7692 | 2019-06-07 |
| 1396082269 | Bonnie Jean Thompson | Registered Nurse | 13654 W Highway 328, Ocala, FL 34482-7053 | 2013-01-11 |
| 1366597288 | Christine Dwyer | Registered Nurse | 2100 Se 17th St Ste 101 Bldg 100, Ocala, FL 34471-4152 | 2007-01-23 |
| 1528669512 | Danielle Pardee | Registered Nurse | 4460 Sw 20th Ave, Ocala, FL 34471-0163 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697350 | Karen Y Barahona | Registered Nurse | 3059 Barry Rd, North Port, FL 34286-9006 | 2020-10-26 |
| 1942809066 | Welcome Group Home LLC | Registered Nurse | 8616 White Cay, West Palm Beach, FL 33411-5545 | 2020-10-20 |
| 1508465725 | Mahanaim Home Care | Registered Nurse | 2750 N 29th Ave Ste 218b, Hollywood, FL 33020-1521 | 2020-10-19 |
| 1033717236 | Tansha Fuller | Registered Nurse | 8606 N 10th St, Tampa, FL 33604-1712 | 2020-10-12 |
| 1902419187 | Superior Choice Physicians Inc | Registered Nurse | 600 Bypass Dr Ste 115, Clearwater, FL 33764-5030 | 2020-08-26 |
| 1457960809 | Trumed Home Health Services LLC | Registered Nurse | 1064 W Highway 50 Ste 210, Clermont, FL 34711-2835 | 2020-07-30 |
| 1285243162 | Robine Duprena | Registered Nurse | 2933 W Cypress Creek Rd Ste 201e, Ft Lauderdale, FL 33309-1760 | 2020-07-27 |
| 1598373250 | Naomi David Julmus | Registered Nurse | 26 Sw 21st Pl, Cape Coral, FL 33991-1346 | 2020-07-20 |
| 1164030235 | Grandpa Home Health, LLC | Registered Nurse | 3044 S Military Trl Ste J, Lake Worth, FL 33463-2112 | 2020-07-15 |
| 1457979494 | Ilianna Polatos-quintero | Registered Nurse | 17902 Nw 81st Ct, Hialeah, FL 33015-2847 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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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.