MEDSERV DIRECT, INC. (NPI# 1124242896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124242896 |
| Entity Type | Organization |
| Organization Name | MEDSERV DIRECT, INC. |
| Other Organization Name | COUNTYWIDE MEDICAL BILLING |
| Practice Address |
16434 Sw 75th Ter Miami FL 33193-3757 |
| Practice Telephone | 7863747013 |
| Mailing Telephone | 7863747013 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GERALDINE B DIAZ (PRESIDENT) |
| Authorized Official Telephone | 7863747013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | Agencies |
| Other Name | Type Code |
|---|---|
| COUNTYWIDE MEDICAL BILLING | Doing Business As Name - Organization |
| Street Address |
16434 SW 75TH TER |
| City | MIAMI |
| State | FL |
| Zip Code | 33193-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538335 | Wendy Sanjurjo Del Hierro I | Behavior Technician | 15336 Sunset Dr, Apt 1011, Miami, FL 33193 | 2020-11-04 |
| 1255971446 | A&o Transport Solution LLC | Non-emergency Medical Transport (VAN) | 15791 Sw 85th St, Miami, FL 33193 | 2020-01-15 |
| 1205471687 | Senia V Bustillo Od Pa | Optometrist | 8765 Sw 165th Avenue, Suite 107, Miami, FL 33193 | 2019-11-09 |
| 1104468925 | Olga Delia Rivera Borrero | Behavior Technician | 8116 Sw 153 Pl, Miami, FL 33193 | 2019-10-14 |
| 1174171672 | Elaine Canedo | Behavior Technician | 8261 Sw 157th Ave, Unit 506, Miami, FL 33193 | 2019-08-28 |
| 1881175834 | Nelson Rivero | Nurse Practitioner | 16167 Sw 61st Ln, Miami, FL 33193 | 2018-08-28 |
| 1851881254 | Leonardo Anoceto | Behavior Technician | 15635 Sw 74 Circle Dr Apt 15, Miami Dade, FL 33193 | 2018-05-11 |
| 1902394521 | Hiala Maday Compta Perez | Nurse Practitioner | 15475 Sw 80 St Apt 102, Miami, FL 33193 | 2018-04-30 |
| 1417453200 | Magnis Reyes | Behavior Technician | 15455 Sw 75th Circle Ln, Miami, FL 33193 | 2018-04-02 |
| 1356843841 | Melissa Anne Taylor | Counselor | 8785 Sw 165 Ave Ste 103, Miami, FL 33193 | 2018-03-01 |
| Find all providers in zip 33193 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538642681 | Insuring Sources, Inc. | Supports Brokerage | 7031 Sw 60th St, Miami, FL 33143-1835 | 2018-09-13 |
| 1104114339 | The Key Clubhouse of South Florida, Inc. | Supports Brokerage | 260 Ne 17th Ter, Suite 202, Miami, FL 33132-1194 | 2011-07-21 |
| 1508155185 | Easy Solutions Service Corporation | Supports Brokerage | 2322 Sw 67th Ave, Miami, FL 33155-1846 | 2011-04-04 |
| 1922165166 | Carmen-gloria Rodriguez | Supports Brokerage | 444 Ne 30th St Unit 901, Miami, FL 33137-4312 | 2007-01-03 |
| 1225444060 | Healthcare Alliance Group Inc. | Supports Brokerage | 13200 Sw 128th St, F-3, Miami, FL 33186-5881 | 2014-07-01 |
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| 1053896878 | Synergy Health Partners LLC | Supports Brokerage | 6415 Lake Worth Rd Ste 102, Greenacres, FL 33463-3009 | 2018-09-27 |
| 1467936807 | Total Care Florida, Inc. | Supports Brokerage | 6801 Lake Worth Rd Ste 302, Greenacres, FL 33467-2966 | 2018-09-21 |
| 1346777588 | Premier Revenue Partners LLC | Supports Brokerage | 10231 Cove Lake Dr, Orlando, FL 32836-3757 | 2017-05-18 |
| 1003366063 | Premier Revenue Solutions LLC | Supports Brokerage | 1155 S Congress Ave Ste C, Palm Springs, FL 33406-5114 | 2016-10-13 |
| 1235686783 | Ican Benefit Group | Supports Brokerage | 2251 North Federal Highway, Pompano Beach, FL 33062 | 2016-09-01 |
| 1225484421 | Armchair Insurance and Tax Services, LLC | Supports Brokerage | 4530 Nw 36th St Apt 102, Lauderdale Lakes, FL 33319-6431 | 2016-05-06 |
| 1659741627 | Jimmie Dean Canole | Supports Brokerage | 2979 S Hwy A1a, Unit 224, Melbourne Beach, FL 32951-2881 | 2015-10-02 |
| 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.