COLEMAN ADULT FAMILY CARE HOME (NPI# 1215330295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215330295 |
| Entity Type | Organization |
| Organization Name | COLEMAN ADULT FAMILY CARE HOME |
| Practice Address |
3410 Westford Dr Apopka FL 32712-5647 |
| Practice Telephone | 3213034907 |
| Practice Fax Number | 4075233798 |
| Mailing Telephone | 3213034907 |
| Mailing Fax Number | 4075233798 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | MRS. DOTLYN SALOME COLEMAN (OWNER) |
| Authorized Official Telephone | 3213034907 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906682 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 142490400 | 05 |
| Street Address |
3410 WESTFORD DR |
| City | APOPKA |
| State | FL |
| Zip Code | 32712-5647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114330354 | Dotlyn Coleman | Registered Nurse | 3410 Westford Dr, Apopka, FL 32712-5647 | 2014-06-05 |
| 1003357567 | Tender Care Inc At Westford Drive | Assisted Living Facility | 3410 Westford Dr, Apopka, FL 32712-5647 | 2017-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428467 | Pamella Omelda Odoms-brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 541 Shirley Dr., Apopka, FL 32712 | 2020-08-18 |
| 1871158741 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1520 W. Orange Blossom Trail, Apopka, FL 32712 | 2019-05-07 |
| 1477088433 | Kim Johnson | Counselor | 1041 Lake Francis Drive, Apopka, FL 32712 | 2017-04-27 |
| 1497290811 | Yasmine Mollings | Behavior Technician | 1741 Parkglen Circle, Apopka, FL 32712 | 2016-12-20 |
| 1316391170 | Infinity Dental LLC | Dentist | 1450 N. Rock Springs Rd, Apopka, FL 32712 | 2016-04-19 |
| 1518368323 | Eleanor Mccall Hawthorne | Counselor | 1928 Bluff Oak St., Apopka, FL 32712 | 2014-09-11 |
| 1497092613 | Anayanzi Annette Simpson | Social Worker | 523 Wekiva Commons Circle #4, Apopka, FL 32712 | 2013-01-08 |
| 1275884553 | Marcia Annette Bryan | Nursing Home Administrator | 957 Rock Creek Street, Apopka, FL 32712 | 2012-09-26 |
| 1790067460 | Benjamin W Song | Dentist | 2053 Palm Vista Drive, Apopka, FL 32712 | 2011-09-19 |
| 1235367400 | Adventist Home Care Services | Home Health | 1109 Tall Pine Drive, Apopka, FL 32712 | 2009-06-26 |
| Find all providers in zip 32712 | ||||
| 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 |
|---|---|---|---|---|
| 1881293843 | Inspire Family Home Care LLC. | Custodial Care Facility | 566 Forsyth Creek Ct, Apopka, FL 32712-3318 | 2020-10-21 |
| 1477971265 | Lending A Helping Hand | Custodial Care Facility | 1762 Clarcona Rd, Apopka, FL 32703-7552 | 2014-03-31 |
| 1598101875 | Santos, Mirtha D | Custodial Care Facility | 3220 Chadwick Rd, Apopka, FL 32703-6007 | 2013-05-14 |
| 1689978504 | Yolette Etienne | Custodial Care Facility | 3500 Plymouth Sorrento Rd, Apopka, FL 32712-5413 | 2011-01-06 |
| 1598107864 | Mirtha D Santos | Custodial Care Facility | 3220 Chadwick Rd, Apopka, FL 32703-6007 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
| 1336747658 | Eddrena Thornton | Custodial Care Facility | 2233 Bluebird Ave, Bartow, FL 33830-2953 | 2020-10-09 |
| 1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
| 1568077469 | Titilayo M Dipe | Custodial Care Facility | 11215 Gold Compass St, Gibsonton, FL 33534-5698 | 2020-09-09 |
| 1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
| 1396354395 | Unique Adult Family Care Home Inc. | Custodial Care Facility | 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 | 2020-07-24 |
| 1790301687 | Nancy Isidor | Custodial Care Facility | 1728 Burnham Ct, Clermont, FL 34714-8048 | 2020-06-17 |
| 1326662206 | Yuwaret Haines | Custodial Care Facility | 13566 Rudi Loop, Spring Hill, FL 34609-7964 | 2020-06-05 |
| 1245854686 | Yves Carmen Dorsainvil | Custodial Care Facility | 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 | 2020-06-01 |
| 1619599628 | Betsy Solano | Custodial Care Facility | 6711 9th Ave N, St Petersburg, FL 33710-6139 | 2020-05-13 |
| 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.