KATHLEEN ANDERSON COMPREHENSIVE WORK CENTER INC (NPI# 1225338502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225338502 |
| Entity Type | Organization |
| Organization Name | KATHLEEN ANDERSON COMPREHENSIVE WORK CENTER INC |
| Other Organization Name | SEMINOLE WORK OPPORTUNITY PROGRAM |
| Practice Address |
1095 Belle Ave Casselberry FL 32708-2961 |
| Practice Telephone | 4076994419 |
| Practice Fax Number | 4076997967 |
| Mailing Telephone | 4076994419 |
| Mailing Fax Number | 4076997967 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |
| Authorized Official Name | MR. WILLIAM HARRY POE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4076994419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | =========002 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA MED WAIVER PROVIDER | 024209896 | 01 |
| FL | MED WAIVER PROVIDER | 024209898 | 01 |
| Other Name | Type Code |
|---|---|
| Seminole Work Opportunity Program | Doing Business As Name - Organization |
| Street Address |
1095 BELLE AVE |
| City | CASSELBERRY |
| State | FL |
| Zip Code | 32708-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558928853 | Veronica-jo Prisco | Social Worker | 580 Old Sanford Road, Winter Springs, FL 32708 | 2019-05-22 |
| 1083101398 | Kd Medical Choice Inc | Clinical Medical Laboratory | 253 Winding Hollow Blvd, Winter Springs, FL 32708 | 2018-04-23 |
| 1861921223 | Karen Bova | Nurse Practitioner | 427 S. Buckskin Way, Winter Springs, FL 32708 | 2017-06-08 |
| 1922530997 | Mayur Vibhakar | Pharmacist | 5840 Red Bug Lake Rd # 1532, Winter Springs, FL 32708 | 2017-03-29 |
| 1053855379 | Liadys Diaz | Social Worker | 4 Sycamore Ct Apt 102, Winter Springs, FL 32708 | 2016-12-05 |
| 1225499817 | Tucawilla Villa, LLC | Custodial Care Facility | 995 Tuscawilla Road, Winter Springs, FL 32708 | 2016-03-10 |
| 1508222100 | Elizabeth Wright | Occupational Therapist | 985 Troon Trce, Winter Springs, FL 32708 | 2016-01-12 |
| 1790168771 | K Rose Ivey | Counselor | 252 Saxony Ct, Winter Springs, FL 32708 | 2015-07-08 |
| 1568863165 | Charles Afton Wise | Counselor | 1491 East Sr 434, Suite 104, Winter Springs, FL 32708 | 2014-09-15 |
| 1174958342 | Jorge Deju | Preventive Medicine | 617 Nighthawk Circle, Winter Springs, FL 32708 | 2013-09-06 |
| Find all providers in zip 32708 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922541622 | Adama Behavior Services Inc | Day Training, Developmentally Disabled Services | 500 State Road 436, Suite 2020, Casselberry, FL 32707-5387 | 2016-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528361 | Where The Heart Is Home Care Services LLC | Day Training, Developmentally Disabled Services | 110 E Broad St Apt 204, Tampa, FL 33604-4132 | 2020-11-04 |
| 1801496674 | Brandon Martinez | Day Training, Developmentally Disabled Services | 1884 Sw 81st Way, Davie, FL 33324-4609 | 2020-10-29 |
| 1639779721 | The Unique Way LLC | Day Training, Developmentally Disabled Services | 1025 S Ohio Ave Apt 15, Lakeland, FL 33803-1283 | 2020-10-28 |
| 1821696394 | Devotion of Care LLC | Day Training, Developmentally Disabled Services | 1801 Nw 3rd St, Pompano Beach, FL 33069-2756 | 2020-10-15 |
| 1538767298 | Healthy Group Home Project, LLC. | Day Training, Developmentally Disabled Services | 849 Mulberry Ave, Panama City, FL 32401-2556 | 2020-10-15 |
| 1902404742 | Brite Life Adult Training Program, LLC | Day Training, Developmentally Disabled Services | 1300 Nw 95th St, Miami, FL 33147-3320 | 2020-10-14 |
| 1134727845 | Four Seasons Aba | Day Training, Developmentally Disabled Services | 6 Meridian Home Ln, Palm Coast, FL 32137-2402 | 2020-10-14 |
| 1760089429 | Helping Angels Thrive, Inc. | Day Training, Developmentally Disabled Services | 305 Providence Rd Apt 101, Brandon, FL 33511-4739 | 2020-10-06 |
| 1245847268 | Joshua R Grant | Day Training, Developmentally Disabled Services | 2405 Almeda St, Jacksonville, FL 32209-4632 | 2020-09-24 |
| 1417562257 | Peace of Mind Home Care Services | Day Training, Developmentally Disabled Services | 1102 Ray Charles Blvd Unit 314, Tampa, FL 33602-3050 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | CASSELBERRY |
| Zip Code | 32708 |
Please comment or provide details below to improve the information on KATHLEEN ANDERSON COMPREHENSIVE WORK CENTER INC.
| 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.