NATASHA GRACE (NPI# 1386047363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386047363 |
Entity Type | Individual |
Full Name | NATASHA GRACE |
Practice Address |
303 E Idlewild Ave Eustis FL 32726-6449 |
Mailing Address |
4218 Se 136th Pl Summerfield FL 34491-2371 |
Practice Telephone | 3526305626 |
Practice Fax Number | 3212565097 |
Mailing Telephone | 3526305626 |
Enumeration Date | 2014-10-03 |
Last Update Date | 2020-08-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251E00000X | Home Health | 30212086 | FL | Agencies |
Y | 251E00000X | Home Health | 233097 | FL | Agencies |
N | 251J00000X | Nursing Care | 30212086 | FL | Agencies |
N | 253Z00000X | In Home Supportive Care | 30212086 | FL | Agencies |
N | 106S00000X | Behavior Technician | 30212086 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 008467900 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
4709 Se 102nd Pl, Belleview, FL 344202939 | 3526305626 | 3212565097 |
Street Address |
303 E IDLEWILD AVE |
City | EUSTIS |
State | FL |
Zip Code | 32726-6449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508497637 | Alton Emory Kinlaw | Pharmacist | 99 Hillside Drive, Eustis, FL 32726 | 2020-01-28 |
1053833426 | Nalia Elizabeth Alicea | Behavioral Analyst | 949 Marietta Lane, Eustis, FL 32726 | 2017-07-07 |
1760840938 | Beautiful Angels LLC | Exclusive Provider Organization | 2208 Virginia Avenue, Eustis, FL 32726 | 2016-02-03 |
1902274624 | Breakthrough Transitions LLC | Social Worker | 2201 S. Bay Street, Suite B-2, Eustis, FL 32726 | 2015-09-11 |
1104223916 | Integrative Physical Medicine of Mount Dora LLC | Specialist | 2818 S Bay St, Eustis, FL 32726 | 2014-11-21 |
1154763290 | Irina N Krasilova | Pharmacist | 1950 Sr 19 N, Eustis, FL 32726 | 2013-07-17 |
1063773679 | Mangalmurti LLC | Pharmacy | 17435 Us Highway 441, Suite-102, Eustis, FL 32726 | 2012-05-31 |
1477813806 | My Darling Angels Home Companion Services | Private Vehicle | 102 Morningview Dr, Eustis, FL 32726 | 2012-05-18 |
1801166186 | Akhlaqus Chowdhury | Pharmacist | 2005 North Sr 19, Eustis, FL 32726 | 2012-01-04 |
1316269244 | Kamlesh Patel | Pharmacist | 2705 Cotton Ct, Eustis, FL 32726 | 2010-02-19 |
Find all providers in zip 32726 |
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 |
---|---|---|---|---|
1366041899 | Tri-city Adult Day Care, Inc. | Home Health | 827 Vanderbilt Dr, Eustis, FL 32726-5251 | 2020-10-26 |
1114531324 | Leandrea Pride | Home Health | 1000 Wall St Apt 39, Eustis, FL 32726-3221 | 2020-09-04 |
1538604012 | Comfortable Living, In Good Hands | Home Health | 1309 Jules Ct, Eustis, FL 32726-2702 | 2016-12-20 |
1679974653 | Lincon Home Care LLC | Home Health | 2801 S Bay St, Eustis, FL 32726-6503 | 2014-09-10 |
1366788077 | Jennifer Merritt Dba Alternative Choice | Home Health | 2722 Cotton Ct, Eustis, FL 32726-2078 | 2012-12-27 |
1528315355 | Aging Concepts, LLC | Home Health | 3759 Blue Crown Ln, Eustis, FL 32736-2249 | 2012-08-10 |
1063716975 | Home Companions of Lake Co., Inc | Home Health | 2785 S Bay St Ste D, Eustis, FL 32726-6591 | 2011-01-06 |
1700188422 | Rsl Health Services LLC | Home Health | 125 E Wilt Ave, Eustis, FL 32726-2950 | 2010-12-01 |
1780675389 | Preferred Home Health Providers, Inc. | Home Health | 900 E Orange Ave, Eustis, FL 32726-4250 | 2005-11-02 |
1679030803 | Karlisa Woods | Home Health | 1309 Jules Ct, Eustis, FL 32726-2702 | 2019-02-24 |
Find all providers in EUSTIS |
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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.