MEDERI CARETENDERS VS OF TAMPA, LLC (NPI# 1366631061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366631061 |
| Entity Type | Organization |
| Organization Name | MEDERI CARETENDERS VS OF TAMPA, LLC |
| Practice Address |
9510 Ormsby Station Rd Suite 300 Louisville KY 40223-4081 |
| Practice Telephone | 5028911000 |
| Practice Fax Number | 5028918067 |
| Mailing Telephone | 5028911000 |
| Mailing Fax Number | 5028918067 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | MR. PATRICK T. LYLES (SR. VP, ADMINISTRATION) |
| Authorized Official Telephone | 5028911044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
9510 ORMSBY STATION RD SUITE 300 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-4081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858178 | Caretenders of Birmingham, Inc | Home Health | 9510 Ormsby Station Rd, Suite 300, Louisville, KY 40223-4081 | 2006-05-16 |
| 1922650134 | Samantha Harper | Nurse Practitioner | 9510 Ormsby Station Rd, Louisville, KY 40223-4081 | 2019-07-09 |
| 1942780507 | Emily Otto | Nurse Practitioner | 9510 Ormsby Station Rd, Louisville, KY 40223-4081 | 2018-08-14 |
| 1821581547 | Leslie Renee' Mcqueen | Nurse Practitioner | 9510 Ormsby Station Rd, Louisville, KY 40223-4081 | 2018-06-07 |
| 1841795572 | Kelly Carlene Belcher | Nurse Practitioner | 9510 Ormsby Station Rd, Louisville, KY 40223-4081 | 2018-03-26 |
| 1801227038 | Bethany Parks | Nurse Practitioner | 9510 Ormsby Station Rd, Louisville, KY 40223-4081 | 2013-12-13 |
| 1366874323 | Al Kingsport Operations, LLC | Assisted Living Facility | 9510 Ormsby Station Rd, Suite 101, Louisville, KY 40223-4081 | 2013-08-01 |
| 1255694071 | Woodlake Operations, LLC | Assisted Living Facility | 9510 Ormsby Station Rd, Suite 101, Louisville, KY 40223-4081 | 2012-06-18 |
| 1366705287 | Florence Operations, LLC | Assisted Living Facility | 9510 Ormsby Station Rd, Suite 101, Louisville, KY 40223-4081 | 2012-06-18 |
| 1174882682 | Valley Farms Operations, LLC | Assisted Living Facility | 9510 Ormsby Station Rd, Suite 101, Louisville, KY 40223-4081 | 2012-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081160 | A Tspoon of Healing Health Care Services LLC | Home Health | 3951 Bardstown Rd Ste 5, Louisville, KY 40218-2609 | 2020-10-19 |
| 1891393203 | Leliah Home Health | Home Health | 7911 Smyrna Parkkway, Louisville, KY 40228-1805 | 2020-10-16 |
| 1861008351 | Matthew Karmo | Home Health | 7911 Smyrna Pkwy, Louisville, KY 40228-1805 | 2020-09-20 |
| 1306456546 | Crystal Lache Young | Home Health | 6111 Leonard Way, Louisville, KY 40229-1405 | 2020-08-03 |
| 1629693130 | Brittiney Griffin | Home Health | 3418 Burrell Dr, Louisville, KY 40216-4373 | 2020-06-10 |
| 1013555440 | Intellectual Impressions LLC | Home Health | 7813 Beulah Church Rd Unit 110, Louisville, KY 40228-1773 | 2019-12-17 |
| 1932743812 | Starlite Homehealth Care | Home Health | 3703 Taylorsville Rd Ste 202, Louisville, KY 40220-1331 | 2019-11-04 |
| 1821632845 | Sebhan L Bogan | Home Health | 10204 Winding River Way, Louisville, KY 40229-5229 | 2019-11-01 |
| 1679114987 | A.c.t.s Therapy Services | Home Health | 4806 Cox Woods Ct, Louisville, KY 40229-2889 | 2019-10-08 |
| 1851943252 | Bernard Owusu Ansah | Home Health | 15211 Abington Ridge Pl, Louisville, KY 40245-5293 | 2019-07-15 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
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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.