TIME OUT RESPITE CARE, INC. (NPI# 1265735179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265735179 |
| Entity Type | Organization |
| Organization Name | TIME OUT RESPITE CARE, INC. |
| Practice Address |
24246 Harborview Rd Port Charlotte FL 33980-2232 |
| Practice Telephone | 9417433883 |
| Practice Fax Number | 9417434369 |
| Mailing Telephone | 9417433883 |
| Mailing Fax Number | 9417434369 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |
| Authorized Official Name | MRS. SHARON CHRISTINA HARTZELL (ADMINISTRATOR) |
| Authorized Official Telephone | 9417433883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | 089079 | FL | Agencies |
| N | 253Z00000X | In Home Supportive Care | 089079 | FL | Agencies |
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
089079 | FL | Respite Care Facility |
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 089079 | FL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 347800000X | 05 | |
| FL | 385H00000X | 05 | |
| FL | 251C00000X | 05 | |
| FL | 253200000X | 05 |
| Street Address |
24246 HARBORVIEW RD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33980-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699646 | Raymond B Hendricks | Custodial Care Facility | 1306 Annette St, Port Charlotte, FL 33980 | 2015-09-15 |
| 1649616517 | Anne Yvonne Clarke | Nurse's Aide | 3378 Idlewild Street, Port Charlotte, FL 33980 | 2013-05-17 |
| 1427395680 | John F Guarino Md Pa | Surgery | 4245 Kings Hwy, Unit A, Port Charlotte, FL 33980 | 2013-01-08 |
| 1497049027 | Patricia Ann Drow | Occupational Therapist | 24469 Manchester Trail, Port Charlotte, FL 33980 | 2011-05-31 |
| 1811221484 | Amanda K Huffman | Clinical Nurse Specialist | 22655 Bayshore Rd Ste 130, Port Charlotte, FL 33980 | 2009-09-29 |
| 1093967739 | Donna Olson | Nurse Practitioner | 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2008-10-14 |
| 1821278029 | Paula Marie Allison | Dietitian, Registered | 23422 Burlingame Ave, Port Charlotte, FL 33980 | 2007-11-06 |
| 1689865891 | Keith Anthony Williams | Physical Medicine & Rehabilitation | 4265 Laura Street, Port Charlotte, FL 33980 | 2007-08-05 |
| 1578685491 | Richard Michael Cocchieri | Dentist | Florida Department of Health In Charlotte County, 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2007-04-03 |
| 1417989328 | John F Guarino | Surgery | 4245 Kings Highway, Unit A, Port Charlotte, FL 33980 | 2006-07-07 |
| Find all providers in zip 33980 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174088876 | Galina Victorovna Vos | Non-emergency Medical Transport (VAN) | 1114 Dewhurst St, Port Charlotte, FL 33952-1557 | 2019-02-06 |
| 1679877567 | Ameditrans, Inc. | Non-emergency Medical Transport (VAN) | 4075 Tamiami Trl, Port Charlotte, FL 33952-9212 | 2011-01-06 |
| 1619091360 | Grant Medical Transportation, Inc | Non-emergency Medical Transport (VAN) | 4351 Pinnacle Street, Port Charlotte, FL 33980-2902 | 2007-03-19 |
| 1619926458 | Jackson Transportation | Non-emergency Medical Transport (VAN) | 20255 Macon Ln, Port Charlotte, FL 33952-3825 | 2006-05-09 |
| 1477108363 | Your Angel Medical Transportation,llc | Non-emergency Medical Transport (VAN) | 1114 Dewhurst St, Port Charlotte, FL 33952-1557 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932588 | Gy Med Transport LLC | Non-emergency Medical Transport (VAN) | 1236 Old England Loop, Sanford, FL 32771-6581 | 2020-11-03 |
| 1902406994 | Nds Solutions, Corp. | Non-emergency Medical Transport (VAN) | 3033 Sw 148th Pl, Miami, FL 33185-4089 | 2020-10-28 |
| 1477152965 | On Time Trans Inc. | Non-emergency Medical Transport (VAN) | 4496 20th Pl Sw, Naples, FL 34116-6418 | 2020-10-26 |
| 1619576113 | Cvjv Enterprise Corp | Non-emergency Medical Transport (VAN) | 8180 Nw 36th St Ste 100j, Doral, FL 33166-6650 | 2020-10-26 |
| 1407455082 | Yanet Benitez | Non-emergency Medical Transport (VAN) | 18962 Sw 113th Pl, Miami, FL 33157-7564 | 2020-10-23 |
| 1518566579 | Trans-care of Panama | Non-emergency Medical Transport (VAN) | 401 N Church Ave, Panama City, FL 32401-4763 | 2020-10-21 |
| 1992304224 | Kanton Enzor | Non-emergency Medical Transport (VAN) | 50 Sheline Dr, Havana, FL 32333-4760 | 2020-10-19 |
| 1912506122 | First Response Transport, LLC | Non-emergency Medical Transport (VAN) | 3015 9th Avenue Dr E, Palmetto, FL 34221-2403 | 2020-10-19 |
| 1962009696 | Door To Door Senior Transportation, LLC | Non-emergency Medical Transport (VAN) | 1802 Sw Del Rio Blvd, Port Saint Lucie, FL 34953-1309 | 2020-10-06 |
| 1720685530 | Ricardo Jose Restrepo | Non-emergency Medical Transport (VAN) | 8351 Sands Point Blvd Apt A104, Tamarac, FL 33321-8541 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33980 |
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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.