SOUTHERN PALM INC (NPI# 1295387918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295387918 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PALM INC |
| Practice Address |
1472 Bolger Ave Spring Hill FL 34609-6107 |
| Practice Telephone | 3526008095 |
| Practice Fax Number | 3527965262 |
| Mailing Telephone | 3526008095 |
| Mailing Fax Number | 3527965262 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | MR. MATTHEW SUTERS (ADMINISTRATION) |
| Authorized Official Telephone | 8505592543 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1472 BOLGER AVE |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34609-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741970 | Tiffany Dawn Westbrook | Nurse Practitioner | 225 Mariner, Spring Hill, FL 34609 | 2020-02-09 |
| 1215450515 | Jessica Deprimo | Occupational Therapy Assistant | 224-236 Mariner Blvd, Spring Hill, FL 34609 | 2017-07-19 |
| 1760911259 | Sunset Family Inc. | Home Health | 4058 Puffer Trce, Spring Hill, FL 34609 | 2017-06-08 |
| 1073943213 | Isidora Alf, Inc | Assisted Living Facility | 3467 Everett Ave, Spring Hill, FL 34609 | 2013-11-26 |
| 1144667494 | Desiree Gagne | Occupational Therapist | 11216 Spring Hill Dr, Spring Hill, FL 34609 | 2013-05-28 |
| 1659635274 | Miyosia Plummer | Counselor | 7074 Grove Road, Brooksville, FL 34609 | 2012-06-28 |
| 1790074623 | Colleen Landry | Occupational Therapy Assistant | 14075 Cooper Rd, Spring Hill, FL 34609 | 2011-03-31 |
| 1639489438 | Anoop Karanth | Pharmacist | 13303 Haverhill Drive, Springhill, FL 34609 | 2010-10-14 |
| 1619283587 | Spring Hill Primary Care LLC | Internal Medicine | 34 Seven Hills Dr, Spring Hill, FL 34609 | 2010-08-30 |
| 1831330547 | Theresa M. Meloche, A.r.n.p. & Associates, Pllc | Nurse Practitioner | 4120 Charmwood Ave., Spring Hill, FL 34609 | 2009-03-10 |
| Find all providers in zip 34609 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089247 | Margaret Morzyszek | Assisted Living Facility | 5311 Mariner Blvd, Spring Hill, FL 34609-1634 | 2020-10-07 |
| 1811451404 | Cobbleston Manor,alf | Assisted Living Facility | 208 Cobblestone Dr, Spring Hill, FL 34606-6331 | 2019-01-28 |
| 1619446341 | Family Extended Care of Spring Hill Nw, Inc. | Assisted Living Facility | 11291 County Line Rd, Spring Hill, FL 34609-5616 | 2018-11-26 |
| 1538577127 | Almost Home, Alf, Inc. | Assisted Living Facility | 14303 Spring Hill Dr, Spring Hill, FL 34609-5234 | 2014-07-27 |
| 1982015145 | Ann's House, Inc. | Assisted Living Facility | 4407 Millwood Rd, Spring Hill, FL 34608-3639 | 2014-05-09 |
| 1104241397 | Mariner Palms Assisted Living Facility | Assisted Living Facility | 5303 Mariner Blvd, Spring Hill, FL 34609-1634 | 2014-02-24 |
| 1073943213 | Isidora Alf, Inc | Assisted Living Facility | 3467 Everett Ave, Spring Hill, FL 34609 | 2013-11-26 |
| 1376971119 | L&v Sweet Home Care | Assisted Living Facility | 2106 Finland Dr, Spring Hill, FL 34609-3833 | 2013-10-14 |
| 1750718482 | Mullins Canterbury LLC | Assisted Living Facility | 7355 Canterbury St, Spring Hill, FL 34606-4302 | 2013-09-26 |
| 1982036125 | Corrigan Place, Alf, Inc. | Assisted Living Facility | 11420 Corrigan St, Spring Hill, FL 34609-4706 | 2013-07-30 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34609 |
Please comment or provide details below to improve the information on SOUTHERN PALM 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.