TIDEWELL HOSPICE, INC. (NPI# 1417954645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417954645 |
| Entity Type | Organization |
| Organization Name | TIDEWELL HOSPICE, INC. |
| Practice Address |
5955 Rand Blvd Sarasota FL 34238-5160 |
| Practice Telephone | 9415527500 |
| Practice Fax Number | 9419261613 |
| Mailing Telephone | 9415527500 |
| Mailing Fax Number | 9419261613 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | BRANDY HERMAN (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 9415527544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 5028096 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 087527908 | 05 | |
| FL | 087527900 | 05 | |
| FL | BCBS | U12 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801285135 | Tidewell Hospice, Inc. | Nurse Practitioner | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2015-01-09 |
| Street Address |
5955 RAND BLVD |
| City | SARASOTA |
| State | FL |
| Zip Code | 34238-5160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454538 | Judith Anne Pollett | Pain Medicine | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2005-06-02 |
| 1760946438 | Lynn Bethea Schwarz | Nurse Practitioner | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2019-01-28 |
| 1437508942 | Allison Rose Salib | Internal Medicine | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2016-06-06 |
| 1407213549 | Beth Wispelwey | Nurse Practitioner | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2016-01-20 |
| 1548652118 | Joann Heaton | Nurse Practitioner | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2015-02-19 |
| 1801285135 | Tidewell Hospice, Inc. | Nurse Practitioner | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2015-01-09 |
| 1578961959 | Carrie Anne Miranda | Nurse Practitioner | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2014-12-16 |
| 1689079337 | Douglas Tidwell | Nurse Practitioner | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2014-10-23 |
| 1710312236 | Lorie Thompson | Internal Medicine | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2013-09-04 |
| 1871833954 | Lorriane June Dengler | Nurse Practitioner | 5955 Rand Blvd, Sarasota, FL 34238-5160 | 2013-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396257168 | Strickland Family Dentistry | Clinic/Center | 8551 S. Tamiami Trail, Sarasota, FL 34238 | 2017-11-01 |
| 1043734031 | Michael Roy Guralnik | Acupuncturist | 6213 Weymouth Dr, Sarasota, FL 34238 | 2017-08-01 |
| 1275991424 | James Orr | Physical Therapist | 5581 Rand Blvd, Sarasota, FL 34238 | 2016-02-03 |
| 1760848527 | Krause Dental | Dentist | 7208 Beneva Road South, Sarasota, FL 34238 | 2016-01-11 |
| 1720467632 | Marco Antunez | Physical Therapy Assistant | 4954 Oldham St, Sarasota, FL 34238 | 2015-05-26 |
| 1629403506 | Multi-task Genie, LLC Dba Allied Pro-health Care | Nursing Care | 8620 S Tamiami Trail, Suite D, Sarasota, FL 34238 | 2013-09-10 |
| 1831443597 | Jessica Thomason | Pharmacist | 8201 South Tamiami Trail, Sarasota, FL 34238 | 2012-11-02 |
| 1164772521 | Eucarice X Richmond | Physical Therapy Assistant | 5111 Palmer Ranch Parkway, Sarasota, FL 34238 | 2012-09-13 |
| 1306194907 | Intellihealth, LLC | Social Worker | 6228 Donnington Ct, Sarasota, FL 34238 | 2012-08-29 |
| 1366706046 | Costco Wholesale Corporation | Pharmacy | 8201 S Tamiami Trl Unit 501, Sarasota, FL 34238 | 2012-06-27 |
| Find all providers in zip 34238 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1174150452 | Sls Caring Hands | Hospice Care, Community Based | 8767 Norfolk Blvd, Jacksonville, FL 32208-1915 | 2020-03-25 |
| 1437783453 | Onsite Dental Solutions | Hospice Care, Community Based | 11924 Forest Hill Blvd # 10b, Wellington, FL 33414-6256 | 2020-02-28 |
| 1831721786 | Tc Cares, LLC | Hospice Care, Community Based | 318 Irving Bend Dr, Groveland, FL 34736-8248 | 2020-02-09 |
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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.