RESTORATIVE HEALTH SERVICES, INC. (NPI# 1144220021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144220021 |
| Entity Type | Organization |
| Organization Name | RESTORATIVE HEALTH SERVICES, INC. |
| Practice Address |
1509 Prosperity Farms Rd Lake Park FL 33403-2025 |
| Mailing Address |
1272 Garrison Drive Suite 307 Murfreesboro TN 37129-3177 |
| Practice Telephone | 5618821767 |
| Practice Fax Number | 5618821764 |
| Mailing Telephone | 6158902160 |
| Mailing Fax Number | 6158902361 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2013-09-17 |
| Authorized Official Name | MS. WANDA T MILLER (MANAGER) |
| Authorized Official Telephone | 6152179821 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | Y |
| Parent Organization Name | RESTORATIVE HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548791668 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 346 Warfield Blvd, Ste. B, Clarksville, TN 37043-5697 | 2017-03-21 |
| 1982975611 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 103 Forrest Crossing Blvd., Ste. 101, Franklin, TN 37064 | 2012-01-26 |
| 1225200793 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 205 Oak Park, Mc Minnville, TN 37110-1336 | 2008-03-25 |
| 1194997668 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 397 Wallace Rd Ste 206, Nashville, TN 37211-4854 | 2008-03-25 |
| 1003088568 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 365 S Hartmann Dr Ste 112, Lebanon, TN 37087-4789 | 2008-03-25 |
| 1851694038 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 204 Medical Dr, Speciality Clinic, Lafayette, TN 37083-1719 | 2010-12-10 |
| 1881866333 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 1816 N Washington St, Ste. 104, Tullahoma, TN 37388-2222 | 2008-03-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RESTORATIVE HEALTH SERVICES, INC. | 1272 Garrison Dr Ste 307, Murfreesboro, TN 37129-3177 |
| Street Address |
1509 PROSPERITY FARMS RD |
| City | LAKE PARK |
| State | FL |
| Zip Code | 33403-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396391355 | Brittany Oclon | Physical Therapist | 3450 Northlake Blvd., Suite 101, Palm Beach Gardens, FL 33403 | 2019-08-15 |
| 1558836668 | Daniel Patirck Harrison | Nurse Practitioner | 903 Lake Shore Drive, Apt. 102, West Palm Beach, FL 33403 | 2018-10-04 |
| 1073099453 | Lashunda Blackshear | Nurse Practitioner | 538 Cypress Drive, Lake Park, FL 33403 | 2018-07-18 |
| 1659864049 | Tara E Turene | Behavior Technician | 900 Burma Road, Suit 109, Palm Beach Gardens, FL 33403 | 2018-06-11 |
| 1437672748 | Reasons for Change, LLC | Community Based Residential Treatment Facility, Mental Illness | 143 Silver Beach Road, Lake Park, FL 33403 | 2017-07-18 |
| 1427587815 | Kristin Barahona | Behavioral Analyst | 9000 Burma Road Suite 109, Palm Beach Gardens, FL 33403 | 2017-06-08 |
| 1497284855 | Brigitte Mallary Toledo | Behavioral Analyst | 9000 Burma Road, Suite 109, Palm Beach Gardens, FL 33403 | 2017-06-08 |
| 1568914539 | Daniel & Max, LLC | Optometrist | 3331 Northlake Blvd, Suite 1, Palm Beach Gardens, FL 33403 | 2016-10-26 |
| 1144778028 | Griffee Dental I Pa | Dentist | 3333 Northlake Blvd, Ste 6, Palm Beach Gardens, FL 33403 | 2016-09-20 |
| 1982158929 | Academy Whole Health Solutions | Substance Abuse Rehabilitation Facility | 504 10th St, Lake Park, FL 33403 | 2016-08-08 |
| Find all providers in zip 33403 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120192 | Solaris Ortho, LLC | Prosthetic/Orthotic Supplier | 1112 W Shell Point Rd Ste 304, Ruskin, FL 33570-3400 | 2020-09-24 |
| 1467068635 | Laquavian Eliacin | Prosthetic/Orthotic Supplier | 1738 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5467 | 2020-09-22 |
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1790397875 | Gessy Rigaud | Prosthetic/Orthotic Supplier | 5100 Sw 41st St Apt 115, Hollywood, FL 33023-6988 | 2020-08-19 |
| 1609486737 | Beauty Vault Lux LLC. | Prosthetic/Orthotic Supplier | 5100 Sw 41st St, Hollywood, FL 33023-6948 | 2020-08-04 |
| 1003424680 | Spartan Capital Investments | Prosthetic/Orthotic Supplier | 1621 E Edgewood Dr Ste B, Lakeland, FL 33803-3365 | 2020-07-20 |
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 1962027128 | Qbc Durable Medical Equipment | Prosthetic/Orthotic Supplier | 931 Village Blvd # 256, West Palm Beach, FL 33409-1803 | 2020-06-13 |
| 1083239891 | K.n. Medical Wigs Inc | Prosthetic/Orthotic Supplier | 651 E Main St Ste I, Haines City, FL 33844-4240 | 2020-06-08 |
| 1730703851 | Mahnke's Orthotics & Prosthetics of Deerfield Inc | Prosthetic/Orthotic Supplier | 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002 | 2020-06-04 |
| 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.