JEANETTE GADSDEN (NPI# 1356788996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356788996 |
| Entity Type | Organization |
| Organization Name | JEANETTE GADSDEN |
| Practice Address |
1113 Fleetwood Dr Nw Port Charlotte FL 33948-2001 |
| Mailing Address |
1113 Fleetwood Drive Port Charlotte FL 33948 |
| Practice Telephone | 9417430897 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |
| Authorized Official Name | JEANETTE GADSDEN (OWNER) |
| Authorized Official Telephone | 9417430897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906148 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 142896900 | 05 |
| Street Address |
1113 FLEETWOOD DR NW |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| 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 |
|---|---|---|---|---|
| 1144699646 | Raymond B Hendricks | Custodial Care Facility | 1306 Annette St, Port Charlotte, FL 33980 | 2015-09-15 |
| 1366864795 | Ivy Flo Moore | Custodial Care Facility | 23145 Gray Ave, Port Charlotte, FL 33980-8587 | 2014-01-21 |
| 1922438464 | Julliet Jackson | Custodial Care Facility | 17345 Edgewater Dr, Port Charlotte, FL 33948-2343 | 2013-11-20 |
| 1508203571 | Chery Adult Family Care Home | Custodial Care Facility | 1048 Renoir St, Port Charlotte, FL 33952-1762 | 2013-05-30 |
| 1881031417 | Eddison Nelson | Custodial Care Facility | 1292 Dorchester St, Port Charlotte, FL 33952-2512 | 2013-05-22 |
| 1750727061 | Spliddie Harrison | Custodial Care Facility | 23529 Quasar Blvd, Port Charlotte, FL 33980-3120 | 2013-05-14 |
| 1346686714 | George Harris | Custodial Care Facility | 152 Torrington St, Port Charlotte, FL 33954-2424 | 2013-05-13 |
| 1174969588 | Annette Angela Hughes | Custodial Care Facility | 18520 Satsuma Ave, Port Charlotte, FL 33948-7520 | 2013-05-13 |
| 1528404928 | Merona Grey | Custodial Care Facility | 23167 Wilkinson Ave, Port Charlotte, FL 33980-5865 | 2013-05-13 |
| 1538503784 | Sharon Marcia Nelson | Custodial Care Facility | 21459 Seaton Ave, Port Charlotte, FL 33954-3251 | 2013-04-18 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on JEANETTE GADSDEN.
| 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.