DETRA MORRISON


Address: 5440 Old Highway 37, Lakeland, FL 33811-2331
Phone: 8638776287

DETRA MORRISON (NPI# 1396225249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396225249
Entity Type Individual
Full Name DETRA MORRISON
Practice Address 5440 Old Highway 37
Lakeland
FL 33811-2331
Mailing Address Po Box 6462
Lakeland
FL 33807-6462
Practice Telephone 8638776287
Mailing Telephone 8638776287
Enumeration Date 2018-08-20
Last Update Date 2018-08-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
FL Nursing & Custodial Care Facilities

Office Location

Street Address 5440 OLD HIGHWAY 37
City LAKELAND
State FL
Zip Code 33811-2331

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952910200 Darielle Shanette Berrian Assisted Living Facility 1548 Georgetown Dr, Lakeland, FL 33811 2020-07-23
1760991012 Gregory Clark Driver 1091 Old South Dr, Lakeland, FL 33811 2017-09-28
1356870703 Jeanette Michelle Edmonds Psychologist 4231 S. Pipkin Rd., Building 2 - Mental Health/behavioral Sciences, Lakeland, FL 33811 2017-06-08
1932353406 Monique L Lisowski Dietitian, Registered 4231 South Pipkin Road, Lakeland, FL 33811 2008-11-11
1306987029 Lifesavers Home Respiratory, Inc. Durable Medical Equipment & Medical Supplies 2525 Drane Field Rd, Suite 14, Lakeland, FL 33811 2007-02-08
1518010305 Kirk Randall Smith Nurse Practitioner 1475 Airport Road, Lakeland, FL 33811 2007-01-18
1578568176 Southeastern Medical Supply Inc Durable Medical Equipment & Medical Supplies 3615 Century Blvd, Unit #1, Lakeland, FL 33811 2005-06-20
1225279318 Affordable Transport Inc. Non-emergency Medical Transport (VAN) 3706 Dmg Dr, Lakeland, FL 33811-1043 2009-03-18
1457747875 Candace Borders Physical Therapy Assistant 3225 Thoroughbred Loop N, Lakeland, FL 33811-1078 2015-04-13
1962849729 Angelica Monteverde Counselor 3121 Filly Ln, Lakeland, FL 33811-1080 2013-06-03
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386005841 Johnsons Gates LLC Custodial Care Facility 2736 W 10th St, Lakeland, FL 33805-3982 2016-03-11
1396102554 Faison Health Care Solution Custodial Care Facility 2064 View Point Landings Rd, Lakeland, FL 33810 2016-01-19
1780086553 Judith Barret Douglas Custodial Care Facility 3988 Hampton Hills Dr, Lakeland, FL 33810-3841 2014-09-23
1063720787 Jacqueline Gale Mcgordon Custodial Care Facility 1038 N Walker Ave, Lakeland, FL 33805-4276 2010-09-15
1629181391 Cathy's Adult Family Care Home Custodial Care Facility 420 El Dorado St, Lakeland, FL 33809-4284 2006-08-16

Providers in the same taxonomy and state

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
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Competitor

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City LAKELAND
Zip Code 33811

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Dataset Information

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.

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