PATH TO PROGRESSIVE HEALTH CARE (NPI# 1356867717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356867717 |
| Entity Type | Organization |
| Organization Name | PATH TO PROGRESSIVE HEALTH CARE |
| Practice Address |
4174 Corsair Ave Kissimmee FL 34741-2949 |
| Mailing Address |
Po Box 700584 Saint Cloud FL 34770-0584 |
| Practice Telephone | (321) 805-0282 |
| Mailing Telephone | 3218052802 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | LEWDY ENID MATIAS (PRESIDENT) |
| Authorized Official Telephone | 3218050282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 13568687717 | 05 |
| Street Address |
4174 CORSAIR AVE |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062687 | Vernon Robertson | Clinic/Center | 818 Marquis Ct, Kissimmee, FL 34759-3828 | 2020-08-03 |
| 1538793427 | E&g Clearview Sevices Inc | Clinic/Center | 330 New York Ave, Kissimmee, FL 34741-5133 | 2020-02-28 |
| 1730710211 | 2450 Chateau LLC | Clinic/Center | 47290 Greycliff Prairie, Kissimmee, FL 34758-3363 | 2020-02-03 |
| 1548890700 | 2450 Chateau LLC | Clinic/Center | 815 Abbeville Ct, Kissimmee, FL 34759-3426 | 2020-01-16 |
| 1447719661 | I-care You | Clinic/Center | 626 Milan Dr, Kissimmee, FL 34758-4303 | 2019-03-18 |
| 1649738600 | Napocare LLC | Clinic/Center | 1406 Swan Ct, Kissimmee, FL 34759-5106 | 2019-03-08 |
| 1588132211 | Enante Napoleon | Clinic/Center | 1406 Swan Court, Kissimmee, FL 34759 | 2018-11-12 |
| 1619411980 | Karen Massay-brank | Clinic/Center | 822 Aspenwood Cir, Kissimmee, FL 34743-8828 | 2016-12-06 |
| 1639647092 | Kairos Home Care Services, LLC | Clinic/Center | 1130 E Donegan Ave Ste 1, Kissimmee, FL 34744-1918 | 2018-11-05 |
| 1962911776 | Poinciana Personal Care & Companion Services | Clinic/Center | 105 E Monument Ave, Kissimmee, FL 34741-5761 | 2017-09-25 |
| Find all providers in KISSIMMEE | ||||
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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.