ADIN MATTHEW MORA VELAZQUEZ JR. (NPI# 1184241929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184241929 |
| Entity Type | Individual |
| Full Name | ADIN MATTHEW MORA VELAZQUEZ JR. |
| Practice Address |
2302 S Jefferson Hwy Monticello FL 32344-5102 |
| Practice Telephone | 8083153031 |
| Mailing Telephone | 8083153031 |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2020-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2302 S Jefferson Hwy, Monticello, FL 323445102 | 8083153031 |
| Street Address |
2302 S JEFFERSON HWY |
| City | MONTICELLO |
| State | FL |
| Zip Code | 32344-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079871 | Adin Matthew Mora Velazquez Jr | Adult Companion | 2302 S Jefferson Hwy, Monticello, FL 32344-5102 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875355 | Pedro Enrique Maseda | Physical Medicine & Rehabilitation | Brynwood Health Rehab, 1656 Jefferson Street, Monticello, FL 32344 | 2018-09-20 |
| 1821482142 | Krista L Mcmullen | Licensed Practical Nurse | 1255 West Washington Street, Monticello, FL 32344 | 2015-03-25 |
| 1861689994 | Ellen Hamilton | Social Worker | 5877 North Salt Road, Monticello, FL 32344 | 2007-10-03 |
| 1891898383 | Joseph C Dorn | Family Medicine | 193 Nursery Rd, Monticello, FL 32344 | 2006-09-07 |
| 1972569770 | Judy Ann Kleynen | Family Medicine | 1549 S. Jefferson Street, Monticello, FL 32344 | 2006-04-21 |
| 1770549545 | Wesley Douglas Scoles | Family Medicine | 1549 South Jefferson Steet, Monticello, FL 32344 | 2006-04-21 |
| 1396880654 | County of Jefferson Office of Clerk Circuit Court | Ambulance | 1456 S. Jefferson St, Monticello, FL 32344-0000 | 2007-02-21 |
| 1902047939 | True Blue Doulas, Inc | Community Health Worker | 680 W Halpin Rd, Monticello, FL 32344-0310 | 2009-03-21 |
| 1548860265 | Clinton Brad Wilson | Pharmacist | 650 Hiawatha Farms Rd, Monticello, FL 32344-0821 | 2020-10-30 |
| 1720590565 | Angela Decker Markley | Nurse Practitioner | 365 Holly Rd, Monticello, FL 32344-1011 | 2017-11-02 |
| Find all providers in zip 32344 | ||||
| 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 |
|---|---|---|---|---|
| 1467079871 | Adin Matthew Mora Velazquez Jr | Adult Companion | 2302 S Jefferson Hwy, Monticello, FL 32344-5102 | 2020-07-01 |
| 1841776721 | Thelma Lakay Powell | Adult Companion | 1425 Florida Ave, Monticello, FL 32344-2303 | 2018-07-13 |
| 1467900233 | Shanise Ford | Adult Companion | 510 S Marvin St, Monticello, FL 32344-2522 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192419 | Nyesha Isons | Adult Companion | 4835 48th St W Apt 513, Bradenton, FL 34210-2862 | 2020-10-24 |
| 1215536305 | Yolanda M Orr | Adult Companion | 1401 Marathon Key Dr Apt 103, Tampa, FL 33612-3650 | 2020-10-20 |
| 1871192187 | Yterria Mcgee | Adult Companion | 1202 N 29th St Apt 93, Fort Pierce, FL 34947-2230 | 2020-10-19 |
| 1316545544 | Hero Senior Care LLC | Adult Companion | 5231 Sw 152nd Ct, Miami, FL 33185-4110 | 2020-10-10 |
| 1821696089 | Audriana Clark | Adult Companion | 7333 Pine Forest Rd Lot 70, Pensacola, FL 32526-3910 | 2020-10-10 |
| 1154937969 | Lashonda Grice Velazquez | Adult Companion | 702 N 19th St, Palatka, FL 32177-3070 | 2020-09-17 |
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1447865639 | Yaimara Cruz | Adult Companion | 14400 Sw 79th Ct, Palmetto Bay, FL 33158-2019 | 2020-09-14 |
| 1275148082 | Latangela Shonta Vassel | Adult Companion | 1104 Bartow Rd Apt N163, Lakeland, FL 33801-5826 | 2020-09-09 |
| 1235743147 | Quanteria Mccaskill | Adult Companion | 116 Little Acres Dr, Palatka, FL 32177-4137 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 32344 |
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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.