COMPASSIONATE HOMES & MEDICAL SUPPLIES SERVICES CORP (NPI# 1437636818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437636818 |
| Entity Type | Organization |
| Organization Name | COMPASSIONATE HOMES & MEDICAL SUPPLIES SERVICES CORP |
| Practice Address |
6730 Goldeneye Dr Orlando FL 32810-6088 |
| Mailing Address |
3419 Glenn Hollow Ct Jacksonville FL 32226-2352 |
| Practice Telephone | 9045510465 |
| Practice Fax Number | 9045510465 |
| Mailing Telephone | 9045510465 |
| Mailing Fax Number | 9045510465 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | MRS. GLORIA A ADESANYA (CEO) |
| Authorized Official Telephone | 9045510465 |
| Authorized Official Credential | PRESIDENT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3419 Glenn Hollow Ct, Jacksonville, FL 322262352 | 9045510466 | 9045510465 |
| Street Address |
6730 GOLDENEYE DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-6088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237723 | Clifford O Stone | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7819 Napoleon St, Orlando, FL 32825-5246 | 2020-02-20 |
| 1952958076 | Ashley S Francis | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6206 Holiday Hill Ln, Orlando, FL 32808-4233 | 2019-08-22 |
| 1427610476 | Florelena Jorge Di Profio | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2388 Grand Central Pkwy Apt 5, Orlando, FL 32839-5044 | 2019-06-30 |
| 1417429663 | A Devine Companion Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1317 Edgewater Dr Ste 1961, Orlando, FL 32804-6350 | 2018-12-28 |
| 1063907327 | Ramona Smith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6304 Gamble Dr, Orlando, FL 32818-4012 | 2018-06-28 |
| 1801381199 | Comfort Villa Cares | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6953 Crescent Ridge Rd, Orlando, FL 32810-5020 | 2018-06-28 |
| 1316432230 | Stephanie Dortch | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7464 Little Pond Ct, Orlando, FL 32810-6051 | 2018-06-23 |
| 1073007621 | Tonya Gibson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1500 Lamplighter Way, Orlando, FL 32818-5742 | 2018-06-18 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| 1457711921 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8668 Harbor View Dr, Orlando, FL 32817-1331 | 2016-02-26 |
| Find all providers in ORLANDO | ||||
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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.