CONRAD HEALTHCARE LLC (NPI# 1194128934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194128934 |
| Entity Type | Organization |
| Organization Name | CONRAD HEALTHCARE LLC |
| Other Organization Name | INTERIM HEALTHCARE OF CHARLOTTE COUNTY |
| Practice Address |
3390 Tamiami Trl Suite 203 Port Charlotte FL 33952-8157 |
| Practice Telephone | 9417875619 |
| Practice Fax Number | 9417875618 |
| Mailing Telephone | 9417875619 |
| Mailing Fax Number | 9417875618 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | CHARLES CONRAD (PRESIDENT) |
| Authorized Official Telephone | 2392926754 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HOME HEALTH AGENCY LICENSE | 299994379 | 01 |
| Other Name | Type Code |
|---|---|
| Interim HealthCare of Charlotte County | Doing Business As Name - Organization |
| Street Address |
3390 TAMIAMI TRL SUITE 203 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-8157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647293 | Arshad Ahad | Internal Medicine | 3390 Tamiami Trl, 205, Port Charlotte, FL 33952-8157 | 2005-08-26 |
| 1639652357 | Tasha Garcia | Social Worker | 3390 Tamiami Trl, Port Charlotte, FL 33952-8157 | 2018-09-09 |
| 1043506900 | Maria Grace Compton | Otolaryngology | 3390 Tamiami Trl, Ste 201, Port Charlotte, FL 33952-8162 | 2011-06-20 |
| 1255642815 | Philip Blanchard Paine | Internal Medicine | 3390 Tamiami Trl, Suite 204, Port Charlotte, FL 33952-8157 | 2010-06-29 |
| 1518278555 | 21st Century Oncology LLC | Urology | 3390 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8157 | 2010-06-24 |
| 1619293180 | Cohleen Marie Nottingham | Nurse Practitioner | 3390 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-8157 | 2010-04-08 |
| 1720271505 | Arshad Ahad Md Pa | Internal Medicine | 3390 Tamiami Trl, Ste 205, Port Charlotte, FL 33952-8157 | 2007-08-24 |
| 1811180870 | Nandini Kiri Md Pa | Internal Medicine | 3390 Tamiami Trl, Suite 101, Port Charlotte, FL 33952-8157 | 2007-08-23 |
| 1346396801 | Philippe Noel | Internal Medicine | 3390 Tamiami Trl, Suite 204, Port Charlotte, FL 33952-8157 | 2007-01-26 |
| 1487745246 | Pamela Debus | Nurse Practitioner | 3390 Tamiami Trl, Ste 105, Port Charlotte, FL 33952-8157 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407232531 | Home Health Care Resources Corp. | Home Health | 866 Tamiami Trl, Ste 4, Port Charlotte, FL 33953-3103 | 2015-07-30 |
| 1891068656 | Transitions Family Healthcare, Corp. | Home Health | 20020 Veterans Blvd Unit 24, Port Charlotte, FL 33954-2114 | 2012-02-09 |
| 1972810695 | Housecall Home Health, LLC | Home Health | 2765 Tamiami Trl, Port Charlotte, FL 33952-5163 | 2010-09-01 |
| 1497988240 | Nursing Charlotte Home Health Care, Inc. | Home Health | 3695 Tamiami Trl, Unit F, Port Charlotte, FL 33952-8253 | 2009-08-27 |
| 1235313685 | A Preferred Nursing Service, Inc. | Home Health | 2811 Tamiami Trl, Suite Q, Port Charlotte, FL 33952-5173 | 2007-12-20 |
| 1821157066 | Conficare Home Health Solutions, LLC | Home Health | 22078 Kimble Ave, Port Charlotte, FL 33952-7023 | 2006-12-06 |
| 1235237421 | Nursecore Management Services, LLC | Home Health | 2811 Tamiami Trl Ste H, Port Charlotte, FL 33952-5135 | 2006-09-20 |
| 1821193285 | Lifeline Home Health Care of Port Charlotte, LLC | Home Health | 1931 Tamiami Trail, Suite 7, Port Charlotte, FL 33948-2160 | 2006-09-13 |
| 1942319744 | Lifeline Health Care of Southwest Florida, Inc. | Home Health | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2006-08-29 |
| 1801833439 | Family Home Health Services LLC | Home Health | 17837 Murdock Cir Unit B, Port Charlotte, FL 33948-4096 | 2006-06-01 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.