SPEEDWAY PLUS 2 CAR CARE CENTER LLCC (NPI# 1346759115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346759115 |
| Entity Type | Organization |
| Organization Name | SPEEDWAY PLUS 2 CAR CARE CENTER LLCC |
| Other Organization Name | 5 STAR CAR CARE |
| Practice Address |
8007 Glenoak Rd. Tampa FL 33610 |
| Mailing Address |
8007 Glenoak Ct Tampa FL 33610-9587 |
| Practice Telephone | (727) 272-4384 |
| Mailing Telephone | 7272724384 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | MR. IMAD GHAZI TOUBEH (DIRECTOR) |
| Authorized Official Telephone | 7272724384 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 23297151Z | FL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| 5 Star Car Care | Doing Business As Name - Organization |
| Street Address |
8007 GLENOAK RD. |
| City | TAMPA |
| State | FL |
| Zip Code | 33610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| 1821414368 | Patricia Ann Lester | Custodial Care Facility | 4307 E. Powhatan Ave, Tampa, FL 33610 | 2014-03-07 |
| Find all providers in zip 33610 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740664887 | Memory Lane Cottage, LLC | Residential Treatment Facility, Physical Disabilities | 5175 Cypress Preserve Dr, Tampa, FL 33647-3674 | 2015-07-18 |
| 1477945277 | Velma Butcher | Residential Treatment Facility, Physical Disabilities | 3703 N 55th St, Tampa, FL 33619-1425 | 2015-03-03 |
| 1881144293 | Asriel Lopez | Residential Treatment Facility, Physical Disabilities | 3211 W Sitka St, Tampa, FL 33614-2701 | 2016-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782271 | Cordell & Associates LLC | Residential Treatment Facility, Physical Disabilities | 2921 Swoop Cir, Kissimmee, FL 34741-7838 | 2020-05-27 |
| 1427688597 | Lashena Jackson | Residential Treatment Facility, Physical Disabilities | 5677 Chirping Way W, Jacksonville, FL 32222-2310 | 2020-01-17 |
| 1518478353 | Derwin T Callahan | Residential Treatment Facility, Physical Disabilities | 113 Bethune St, Lake Placid, FL 33852-5698 | 2017-10-19 |
| 1700300092 | Martinez Group Home, LLC | Residential Treatment Facility, Physical Disabilities | 14918 Sw 15 Ln, Miami, FL 33194 | 2017-07-28 |
| 1962935452 | Sharyn Trapp | Residential Treatment Facility, Physical Disabilities | 1820 N Westmoreland Dr, Orlando, FL 32804-5738 | 2017-04-11 |
| 1942741921 | Endeavor Swallowing Solutions | Residential Treatment Facility, Physical Disabilities | 8826 Shell Island Dr, Jacksonville, FL 32216-4706 | 2017-03-10 |
| 1366993404 | Steve Ewald | Residential Treatment Facility, Physical Disabilities | 5595 Willoughby Dr, Melbourne, FL 32934-2822 | 2016-10-24 |
| 1518413921 | Las Delicias Alf #2 | Residential Treatment Facility, Physical Disabilities | 3840 Nw 184th St, Miami Gardens, FL 33055-2835 | 2016-08-27 |
| 1780137455 | Axiom | Residential Treatment Facility, Physical Disabilities | 2400 River Tree Cir, Sanford, FL 32771-8332 | 2016-07-29 |
| 1750746616 | Design Woods Peace Trust | Residential Treatment Facility, Physical Disabilities | 209 Runyon Vlg Apt B, Belle Glade, FL 33430-6038 | 2015-12-20 |
| 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.