HERMINA JEAN (NPI# 1386045813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386045813 |
| Entity Type | Individual |
| Full Name | HERMINA JEAN |
| Practice Address |
3502 Londonberry Blvd Orlando FL 32808-3629 |
| Mailing Address |
3502 Londonderry Blvd Orlando FL 32808-3629 |
| Practice Telephone | 4073345475 |
| Mailing Telephone | 4073345475 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AHCA # 6906583 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008297100 | 05 |
| Street Address |
3502 LONDONBERRY BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32808-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1811522691 | Lorraine Viviene Bromfield Alleyne | In Home Supportive Care | 3536 Pine Ridge Court, Orlando, FL 32808 | 2020-03-11 |
| 1750913760 | 2 God B Thy Glory 4 Healing Angels | Respite Care | 5553 #1 Springhill Dr, Orlando, FL 32808 | 2020-02-07 |
| 1720620537 | Tamara Jefferson | Occupational Therapist | 5164 Clarion Oaks Drive, Orlando, FL 32808 | 2019-10-14 |
| 1750851341 | Gladys Joseph | Nurse's Aide | 805 Terry Lynn Drive, Orlando, FL 32808 | 2018-11-27 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1407342322 | Camha P Nguyen | Dentist | 2619 Greenfield Ave, Orlando, FL 32808 | 2018-07-03 |
| 1568964039 | Keep A Kid On Track | Counselor | 623 Pine Hill Road, Orlando, FL 32808 | 2018-03-01 |
| 1629507074 | Janelle Manning | Nurse's Aide | 5030 Rosamond Drive, Apt 2712, Orlando, FL 32808 | 2017-06-08 |
| 1770018137 | Andrew Owen | Chiropractor | 822 Mercy Dr, Orlando, FL 32808 | 2017-04-24 |
| Find all providers in zip 32808 | ||||
| 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 |
|---|---|---|---|---|
| 1114551884 | Christle Haven LLC | Custodial Care Facility | 2523 Leston Ct, Orlando, FL 32817-2614 | 2020-03-02 |
| 1942772520 | Angels of Jesus | Custodial Care Facility | 1404 N Observatory Dr, Orlando, FL 32818-5916 | 2018-12-20 |
| 1639678139 | Lise's Garden Afch, LLC | Custodial Care Facility | 1542 Providence Cir, Orlando, FL 32818-5708 | 2018-02-09 |
| 1821506585 | Have Faith Care Services | Custodial Care Facility | 927 S Goldwyn Ave Ste 117, Orlando, FL 32805-4389 | 2018-01-16 |
| 1144743733 | A Home With Tlc LLC | Custodial Care Facility | 4116 Lenox Blvd, Orlando, FL 32811-4134 | 2017-07-25 |
| 1659824357 | Marie Francois | Custodial Care Facility | 8655 Tarragon Dr, Orlando, FL 32825-3644 | 2016-07-28 |
| 1003288499 | Edith Bort | Custodial Care Facility | 227 Woodbury Pines Cir, Orlando, FL 32828-9086 | 2015-10-23 |
| 1992106496 | Serenity Place Family Care Group Home | Custodial Care Facility | 2011 Carrington Dr, Orlando, FL 32807-5206 | 2014-09-16 |
| 1790192979 | Serenity Adult Family Care Home LLC | Custodial Care Facility | 748 Mellowood Ave, Orlando, FL 32825-8077 | 2014-07-19 |
| 1043645716 | Allheart Board and Care | Custodial Care Facility | 2668 Logandale Dr, Orlando, FL 32817-4722 | 2013-09-12 |
| Find all providers in ORLANDO | ||||
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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.