MR. WILLIE CHRISTMAS (NPI# 1396177184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396177184 |
| Entity Type | Individual |
| Full Name | MR. WILLIE CHRISTMAS |
| Practice Address |
16691 1st St Alva FL 33920-4119 |
| Practice Telephone | 2397283998 |
| Practice Fax Number | 2397283998 |
| Mailing Telephone | 2397283998 |
| Mailing Fax Number | 2397283998 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906393 | FL | Nursing & Custodial Care Facilities |
| Street Address |
16691 1ST ST |
| City | ALVA |
| State | FL |
| Zip Code | 33920-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568787521 | Christmas Community Residential Home | Assisted Living Facility | 16691 1st St, Alva, FL 33920-4119 | 2010-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154813772 | Asja Morello | Specialist/Technologist | 17651 Oak Creek Road, Alva, FL 33920 | 2018-05-30 |
| 1205102084 | Edward Clewell | Social Worker | 2108 Monroe Ave, Alva, FL 33920-1421 | 2012-03-27 |
| 1396863759 | Ralph Santana | Physical Therapist | 21591 Claytor Rd, Alva, FL 33920-3303 | 2007-03-26 |
| 1275768194 | Coastal Physical Therapy LLC | Clinic/Center | 18990 Persimmon Ridge Rd, Alva, FL 33920-3367 | 2009-05-20 |
| 1174923635 | Michelle Asha Handy | Pharmacist | 1830 Oak Dr, Alva, FL 33920-3707 | 2014-09-02 |
| 1639347149 | Cynthia Mansell Witthuhn | Registered Nurse | 2121 Sebastian Ct, Alva, FL 33920-3824 | 2008-02-19 |
| 1225225105 | Kathryn Barnes Snider | Physical Therapist | 3130 Styles Rd, Alva, FL 33920-4003 | 2007-09-25 |
| 1134569122 | Claudine Rene Blackburn | Speech-Language Pathologist | 2770 Styles Rd, Alva, FL 33920-4017 | 2013-07-05 |
| 1699284067 | Christal Bolden | Adult Companion | 23061 Solomon Dr, Alva, FL 33920-4131 | 2017-09-28 |
| 1497278188 | Krisztina Madak | Speech-Language Pathologist | 2800 River Hall Pkwy, Alva, FL 33920-4601 | 2017-07-25 |
| Find all providers in zip 33920 | ||||
| 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 |
|---|---|---|---|---|
| 1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
| 1881293843 | Inspire Family Home Care LLC. | Custodial Care Facility | 566 Forsyth Creek Ct, Apopka, FL 32712-3318 | 2020-10-21 |
| 1336747658 | Eddrena Thornton | Custodial Care Facility | 2233 Bluebird Ave, Bartow, FL 33830-2953 | 2020-10-09 |
| 1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
| 1568077469 | Titilayo M Dipe | Custodial Care Facility | 11215 Gold Compass St, Gibsonton, FL 33534-5698 | 2020-09-09 |
| 1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
| 1396354395 | Unique Adult Family Care Home Inc. | Custodial Care Facility | 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 | 2020-07-24 |
| 1790301687 | Nancy Isidor | Custodial Care Facility | 1728 Burnham Ct, Clermont, FL 34714-8048 | 2020-06-17 |
| 1326662206 | Yuwaret Haines | Custodial Care Facility | 13566 Rudi Loop, Spring Hill, FL 34609-7964 | 2020-06-05 |
| 1245854686 | Yves Carmen Dorsainvil | Custodial Care Facility | 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
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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.