MISS JACQUELINE ANN CHASE (NPI# 1114161254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114161254 |
| Entity Type | Individual |
| Full Name | MISS JACQUELINE ANN CHASE |
| Practice Address |
1419 Royal Saint George Dr Orlando FL 32828-8030 |
| Practice Telephone | 4077361842 |
| Mailing Telephone | 4077361842 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | 186785 | FL | Nursing Service Related Providers |
| Y | 372600000X | Adult Companion | CNA 148312 | FL | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568590404 | Jacqueline M Chase | Occupational Therapist | 2009 Camille Ct, Liberty, MO 64068-9101 | 2007-03-01 |
| 1740271741 | Jacqueline Elizabeth Chase | Dietitian, Registered | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2005-10-31 |
| 1811165541 | Jacqueline Chase | Specialist/Technologist | 1563 N Main St, Suite 208, Fall River, MA 02720-2983 | 2008-02-15 |
| Street Address |
1419 ROYAL SAINT GEORGE DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32828-8030 |
| 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 | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453065 | Charles Edward Haynes | Adult Companion | 226 Greens End St, Orlando, FL 32810-6227 | 2020-06-28 |
| 1225655087 | Christina Nichole Harvey | Adult Companion | 410 Sunnyview Cir, Orlando, FL 32810-6279 | 2020-06-28 |
| 1184246514 | Gooden Homecare Services LLC | Adult Companion | 5248 Long Rd Apt B, Orlando, FL 32808-1105 | 2020-05-07 |
| 1902456908 | Larico Toliver | Adult Companion | 6145 Misson Dr, Orlando, FL 32810-3910 | 2019-09-12 |
| 1225595192 | Kizzy Ross | Adult Companion | 6216 Beechmont Blvd, Orlando, FL 32808-2318 | 2019-02-26 |
| 1598248007 | Devona M Sharp | Adult Companion | 8422 Margarita Dr, Orlando, FL 32817-1227 | 2018-09-11 |
| 1083191415 | Myrlene Warren | Adult Companion | 101 S Garland Ave Ste 108, Orlando, FL 32801-3276 | 2018-07-27 |
| 1649763178 | Marie Alexandra Senat I | Adult Companion | 640 Grandiflora Drive, Orlando, FL 32811 | 2018-06-09 |
| 1538677570 | Quanisha Dorlean | Adult Companion | 6258 Sparling Hills Cir, Orlando, FL 32808-1438 | 2018-01-11 |
| 1477064426 | Gemma P Vega | Adult Companion | 5323 Millenia Lakes Blvd Ste 374, Orlando, FL 32839-3395 | 2017-10-17 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on MISS JACQUELINE ANN CHASE.
| 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.