MILEDY MARTINEZ (NPI# 1164800819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164800819 |
| Entity Type | Organization |
| Organization Name | MILEDY MARTINEZ |
| Practice Address |
6508 Amundson Ct Tampa FL 33634-4731 |
| Practice Telephone | 8138808393 |
| Mailing Telephone | 8138808393 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Authorized Official Name | MILEDY MARTINEZ (ADMINISTRATOR) |
| Authorized Official Telephone | 8138808393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906029 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 142775000 | 05 |
| Street Address |
6508 AMUNDSON CT |
| City | TAMPA |
| State | FL |
| Zip Code | 33634-4731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| 1417443623 | Leah Patrinostro | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-11 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1487024469 | Brenda I Bryant | Counselor | 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 | 2015-10-02 |
| 1548697790 | Arlene A. Laing | Nurse Practitioner | 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 | 2013-10-02 |
| 1942642301 | Yanet D. Perez Parra | Registered Nurse | 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 | 2013-07-25 |
| 1467794784 | Deanna Lynn Marr | Occupational Therapist | 6169 Lanshire Dr, Tampa, FL 33634 | 2013-03-25 |
| 1336489442 | Elbert Jamaal Taylor | Technician, Other | 8905 Benjamin Road, Tampa, FL 33634 | 2013-02-26 |
| Find all providers in zip 33634 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669025698 | Marcson Erdain | Custodial Care Facility | 2313 W Arch St, Tampa, FL 33607-5303 | 2019-07-18 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1437636024 | Tonia Hammond | Custodial Care Facility | 3819 Beechwood Blvd, Tampa, FL 33619-1224 | 2018-07-26 |
| 1295275360 | Myrta Cruz Rivera | Custodial Care Facility | 11008 N 52nd St, Tampa, FL 33617-2804 | 2017-03-08 |
| 1821532243 | Lawanza Llanos | Custodial Care Facility | 1911 E 143rd Ave, Tampa, FL 33613-2536 | 2016-12-05 |
| 1629526074 | Eakens Group Home | Custodial Care Facility | 8402 Rio Bravo Ct, 3, Tampa, FL 33617-7083 | 2016-09-14 |
| 1083072789 | Diane's Speial Home Care, Inc | Custodial Care Facility | 8206 Pennywell Pl, Tampa, FL 33615-1625 | 2016-02-09 |
| 1689030330 | Katherine Tillman | Custodial Care Facility | 8119 N Mulberry St, Tampa, FL 33604-3443 | 2016-01-11 |
| 1801269022 | Turning Pages LLC | Custodial Care Facility | 2931 Banza St, Tampa, FL 33605-2769 | 2015-11-10 |
| 1891170460 | Claudette Johnson | Custodial Care Facility | 4617 Hidden Shaddow Dt, Tampa, FL 33614 | 2015-07-24 |
| Find all providers in TAMPA | ||||
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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.