LISSELOT T MESA (NPI# 1386013084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386013084 |
| Entity Type | Individual |
| Full Name | LISSELOT T MESA |
| Credential | COTA |
| Practice Address |
311 Ne 8th St Homestead FL 33030-4738 |
| Mailing Address |
11055 Sw 161st Ter Miami FL 33157-2840 |
| Practice Telephone | 3052488600 |
| Mailing Telephone | 3059846080 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | OTA14395 | FL | Agencies |
| Street Address |
311 NE 8TH ST |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33030-4738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134227838 | True Care Medical Services, Inc. | Internal Medicine | 311 Ne 8th St, Suite # 101, Homestead, FL 33030-4738 | 2006-09-20 |
| 1619439551 | Gregory Gordon Sodeman | Physical Therapy Assistant | 311 Ne 8th St, Homestead, FL 33030-4738 | 2019-04-01 |
| 1477090983 | Yanet Bernardo | Physical Therapy Assistant | 311 Ne 8th St, Homestead, FL 33030-4738 | 2017-01-22 |
| 1669919171 | Idalis Medina Hondal | Physical Therapy Assistant | 311 Ne 8th St, Suit 104, Homestead, FL 33030-4738 | 2017-01-22 |
| 1104360593 | Ivette Cuadras | Occupational Therapy Assistant | 311 Ne 8th St, Suite 104, Homestead, FL 33030-4738 | 2016-12-05 |
| 1487024394 | Chrstine Prentt | Occupational Therapy Assistant | 311 Ne 8th St, Homestead, FL 33030-4738 | 2015-10-05 |
| 1023497286 | Primary Care Medical Center Inc | General Practice | 311 Ne 8th St, Suite 109, Homestead, FL 33030-4738 | 2015-05-21 |
| 1912390717 | Florimed Medical Center | Clinic/Center | 311 Ne 8th St, Suite 110, Homestead, FL 33030-4738 | 2015-03-18 |
| 1952705949 | Daniel Cornelius | Physical Therapy Assistant | 311 Ne 8th St, Homestead, FL 33030-4738 | 2014-10-20 |
| 1790046761 | Arles Perdomo M.d. Pa | Clinic/Center | 311 Ne 8th St, Suite 110, Homestead, FL 33030-4738 | 2012-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515871 | Clinica Las Mercedes Vi, Inc | Clinic/Center | 290 Ne 8 Street, Homestead, FL 33030 | 2019-12-18 |
| 1770124331 | Md Now Medical Centers Inc | Clinic/Center | 729 S Homestead Blvd, Homestead, FL 33030 | 2019-10-04 |
| 1437611787 | Yevgeniy Mailyan | Behavior Technician | 1513 Sw 2nd Court, Homestead, FL 33030 | 2019-04-04 |
| 1144789306 | Special Delivery Health Center, LLC | Midwife | 123 N. Krome Avenue, Suite 101, Homestead, FL 33030 | 2019-03-18 |
| 1144718578 | Galovin Solutions Inc | Behavioral Analyst | 50 Nw 15th St Ste 111, Homestead, FL 33030 | 2018-05-01 |
| 1003332073 | Juan C Gonzalez Ibarra | Behavior Technician | 800 Ne 12th Ave Apt# C214, Homestead, FL 33030 | 2017-08-21 |
| 1023534757 | Lunilda L Mcvay | Psychologist | 151 Nw 11st St Suite W-201, Monarch All Health, LLC, Homestead, FL 33030 | 2017-08-15 |
| 1295250025 | Clara L Perez | Behavior Technician | 800 Ne 12th Ave Apt# L256, Homestead, FL 33030 | 2017-08-14 |
| 1205350535 | Charity's Homemaker Companion Services, LLC | Homemaker | 30855 Sw 205 Ave, Homestead, FL 33030 | 2017-07-28 |
| 1003346693 | Yanet Rodriguez Sardinas | Behavioral Analyst | 906 Nw 3rd Ave, Homestead, FL 33030 | 2017-06-15 |
| Find all providers in zip 33030 | ||||
| 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 |
|---|---|---|---|---|
| 1932725009 | Always Here Homecare Nrd | Home Health | 142 W 9th Ave Apt 1, Homestead, PA 15120-1058 | 2020-06-24 |
| 1497398945 | Isis Dalia Suarez Cabrera | Home Health | 14331 Sw 268th St Apt 212, Homestead, FL 33032-7552 | 2019-10-28 |
| 1871153064 | Taholand Care & Associates, LLC | Home Health | 27407 Sw 143rd Ave, Homestead, FL 33032-8866 | 2019-06-19 |
| 1073038139 | Janet Munoz | Home Health | 18911 Sw 312th St, Homestead, FL 33030-3842 | 2017-08-10 |
| 1891221065 | Gladys B House, LLC | Home Health | 12875 Sw 280th St, Homestead, FL 33032 | 2017-05-10 |
| 1932562113 | Vanesa Santana | Home Health | 11962 Sw 253rd Ter, Homestead, FL 33032-6010 | 2016-04-04 |
| 1811387004 | Little Helping Hands Therapy LLC | Home Health | 979 Ne 42nd Ave, Homestead, FL 33033-5902 | 2015-01-27 |
| 1588062855 | Keyra Aybar | Home Health | 3165 Se 2nd Dr, Homestead, FL 33033-7147 | 2014-12-18 |
| 1487058921 | Divine Quality Care,llc | Home Health | 13920 Sw 268th St, 104, Homestead, FL 33032-9206 | 2014-10-13 |
| 1184069551 | Allied Therapy Proffessionals Inc | Home Health | 1720 Ne 37th Pl, Homestead, FL 33033-5577 | 2013-04-30 |
| Find all providers in HOMESTEAD | ||||
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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.