CLINICAID WELL CENTER, LLC (NPI# 1417252131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417252131 |
| Entity Type | Organization |
| Organization Name | CLINICAID WELL CENTER, LLC |
| Practice Address |
3619 Henderson Blvd Tampa FL 33609-4501 |
| Practice Telephone | 8138742737 |
| Practice Fax Number | 8138740099 |
| Mailing Telephone | 8138742737 |
| Mailing Fax Number | 8138740099 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |
| Authorized Official Name | SERGIO CEBALLOS (OWNER) |
| Authorized Official Telephone | 8138742737 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | HCC8834 | FL | Hospital Units |
| Street Address |
3619 HENDERSON BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891025151 | Er Rehab Center LLC | Chiropractor | 3619 Henderson Blvd, Tampa, FL 33609-4501 | 2010-01-10 |
| 1619238136 | Care Massage Inc | Clinic/Center | 3619 Henderson Blvd, Tampa, FL 33609-4501 | 2012-05-31 |
| 1548532906 | Nikita Lyashenko | Massage Therapist | 3619 Henderson Blvd, Tampa, FL 33609-4501 | 2012-02-01 |
| 1205112950 | Yelena K Iskander | Nutritionist | 3619 Henderson Blvd, Tampa, FL 33609-4501 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891020764 | St. Joseph Rehabilitation, Inc. | Rehabilitation Unit | 7825 N Dale Mabry Hwy Ste 104, Tampa, FL 33614-3207 | 2009-10-12 |
| 1861630287 | University Community Hospital, Inc | Rehabilitation Unit | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2009-01-22 |
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|---|---|---|---|---|
| 1407302045 | Broward Health | Rehabilitation Unit | 1800 Sw 5th Place, Ft. Lauderdale, FL 33309 | 2016-09-01 |
| 1063892586 | Jd Solutions Center, Corp | Rehabilitation Unit | 6955 Nw 77th Ave Ste 310, Miami, FL 33166-2846 | 2015-06-01 |
| 1588085542 | Vista Medical Reheb Center. Inc | Rehabilitation Unit | 4355 W 16 Ave Suite 212, Hialeah, FL 33012-7670 | 2013-12-18 |
| 1134556988 | Exceptional Care Medical Group Corp | Rehabilitation Unit | 4355 W 16th Ave Ste 201, Hialeah, FL 33012-7667 | 2013-10-10 |
| 1033462254 | B&c Rehabilitation Center Inc | Rehabilitation Unit | 1800 Sw 27th Ave Ste 403, Miami, FL 33145-2400 | 2012-10-25 |
| 1184998544 | Universal Therapeutics Inc | Rehabilitation Unit | 6501 Nw 36th St Ste 411, Virginia Gardens, FL 33166-6964 | 2012-03-02 |
| 1518239185 | Light Rehabilitation Center, Inc | Rehabilitation Unit | 3060 Jog Rd, Greenacres, FL 33467-2052 | 2012-01-29 |
| 1215215405 | Eternal Beauty Corp | Rehabilitation Unit | 2794 W 68th St, Suite 103, Hialeah, FL 33016-5407 | 2011-07-22 |
| 1245521079 | Military Trail Rehab & Therapy Center | Rehabilitation Unit | 925 S Military Trl, Suite D6, West Palm Beach, FL 33415-3977 | 2011-04-27 |
| 1629388947 | Florida Rehabilitation Medical Center, Inc | Rehabilitation Unit | 1926 10th Ave N Ste 103, Lake Worth, FL 33461-3300 | 2010-10-20 |
| 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.