NGM & SONS, LLC (NPI# 1124649793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124649793 |
| Entity Type | Organization |
| Organization Name | NGM & SONS, LLC |
| Other Organization Name | DOLPHIN HOUSE, ALF |
| Practice Address |
9670 134th St Seminole FL 33776-1447 |
| Practice Telephone | 7275963266 |
| Practice Fax Number | 7277547670 |
| Mailing Telephone | 7275963266 |
| Mailing Fax Number | 7277547670 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | MR. ARMANDO E MORA JR. (ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 7272518291 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 104316800 | 05 |
| Other Name | Type Code |
|---|---|
| Dolphin House, ALF | Doing Business As Name - Organization |
| Street Address |
9670 134TH ST |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33776-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598237695 | Nicetas Gagan Mora | Assisted Living Facility | 9670 134th St, Seminole, FL 33776-1447 | 2018-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003460577 | Marie Gruca | Behavior Technician | 7777 131st Street 7, Seminole, FL 33776 | 2019-08-01 |
| 1023525466 | Janis Dee Grooms | Counselor | 9160 Oakhurst Rd Ste 3b, Seminole, FL 33776 | 2018-01-08 |
| 1043737109 | Keleigh E Devlin | Behavior Technician | 12505 Starkey Road, Suite G, Largo, FL 33776 | 2017-08-29 |
| 1821527276 | Dane Andrew Kuplicki | Optometrist | 14194 84th Terrace North, Seminole, FL 33776 | 2017-06-08 |
| 1124465190 | Dolphin House Assisted Living Facility | Assisted Living Facility | 9670 134th Street N., Seminole, FL 33776 | 2013-05-30 |
| 1952671489 | Drin Mita | Pharmacist | 13705 78th Avenue North, Seminole, FL 33776 | 2011-12-30 |
| 1982987350 | Laura D Rustin | Marriage & Family Therapist | 10913 70th Ave N, Seminole, FL 33776 | 2011-09-22 |
| 1174790083 | Mary Jane Jones | Occupational Therapist | 13791 Montego Dr, Seminole, FL 33776 | 2008-05-09 |
| 1730309238 | Robert P Brillon | Pharmacist | 14502 Alejo Court, Seminole, FL 33776 | 2007-04-26 |
| 1184710774 | Dean A. Pedalino | Pharmacist | 9858 Indian Key Trail, Seminole, FL 33776 | 2006-10-04 |
| Find all providers in zip 33776 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598237695 | Nicetas Gagan Mora | Assisted Living Facility | 9670 134th St, Seminole, FL 33776-1447 | 2018-12-30 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1679998207 | Christine Gibree | Assisted Living Facility | 7770 128th St, Seminole, FL 33776-4100 | 2014-02-18 |
| 1417378738 | Roy Brito | Assisted Living Facility | 7555 131st St, Seminole, FL 33776-4010 | 2014-01-05 |
| 1801217914 | Island Splendor Alf Inc. | Assisted Living Facility | 9057 109th Ave, Seminole, FL 33777-1115 | 2013-12-17 |
| 1770911042 | Silmar Pastor Corp | Assisted Living Facility | 11177 70th Ave, Seminole, FL 33772-6311 | 2013-10-24 |
| 1124465190 | Dolphin House Assisted Living Facility | Assisted Living Facility | 9670 134th Street N., Seminole, FL 33776 | 2013-05-30 |
| 1003175936 | A Safe Haven Assisted Living, LLC | Assisted Living Facility | 9000 86th Ave, Seminole, FL 33777-2641 | 2012-05-13 |
| 1679720270 | Arden Courts of Seminole Fl LLC | Assisted Living Facility | 9300 Antilles Dr, Seminole, FL 33776-2153 | 2008-08-26 |
| 1215043427 | Lake Balaton, Inc. | Assisted Living Facility | 9225 82nd Avenue N., Suite 312, Seminole, FL 33777-2821 | 2006-08-21 |
| Find all providers in SEMINOLE | ||||
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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.