EAGLES NEST OF LOVE LLC (NPI# 1437793015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437793015 |
| Entity Type | Organization |
| Organization Name | EAGLES NEST OF LOVE LLC |
| Practice Address |
11545 Balintore Dr Riverview FL 33579-3918 |
| Mailing Address |
3848 Sun City Center Blvd # 104-49 Sun City Center FL 33573-6843 |
| Practice Telephone | 8138154776 |
| Mailing Telephone | 8138154776 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | ZARANDA YOUNG (ADMINISTRATOR) |
| Authorized Official Telephone | 8138154776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Forever Young Companion Agency | Doing Business As Name - Organization |
| Street Address |
11545 BALINTORE DR |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33579-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912505 | Joanna Johnson | Developmental Therapist | 10910 Keys Gate Drive, Riverview, FL 33579 | 2020-05-05 |
| 1255815114 | Advanced Dental Care of Riverview Pllc | Clinic/Center | 13018 S Us Highway 301, Riverview, FL 33579 | 2018-09-18 |
| 1265920078 | Takashi Dixon | Dentist | 10625 Big Bend Rd, Riverview, FL 33579 | 2018-04-26 |
| 1821513243 | Marie Evens Murat | Registered Nurse | 12718 Lovers Lane, Riverview, FL 33579 | 2017-08-07 |
| 1467907857 | Dorothy Araujo | Assisted Living Facility | 11626 Tropical Isle Ln, Riverview, FL 33579 | 2016-08-16 |
| 1134571128 | Tampa Institute for Pain and Spine, LLC | Anesthesiology | 13140 Elk Mountain Dr, Suite B, Riverview, FL 33579 | 2016-07-01 |
| 1669832242 | Shawn Mckeag | Speech-Language Pathologist | 11838 Newberry Grove Loop, Riverview, FL 33579 | 2016-02-25 |
| 1902202377 | Jose Gerena | Adult Companion | 11325 Village Brook Dr, Riverview, FL 33579 | 2014-11-13 |
| 1912259409 | Brandi L Torres | Nurse Practitioner | 10729 Queens Town Drive, Riverview, FL 33579 | 2012-10-08 |
| 1952677700 | Crystal Nache Clark | Counselor | 13902 Sage Thrasher Lane, Riverview, FL 33579 | 2012-03-27 |
| Find all providers in zip 33579 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871130880 | Cynthia Renee Dosek | Homemaker | 13474 Fladgate Mark Dr, Riverview, FL 33579-2378 | 2019-12-09 |
| 1780157263 | Michelle D Williams | Homemaker | 6803 Breezy Palm Dr, Riverview, FL 33578-8815 | 2019-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558172 | Katrina Ann Fils-aime | Homemaker | 501 Goodlette-frank Rd N Ste D100, Naples, FL 34102-5666 | 2020-11-07 |
| 1538760368 | Tonique L Brown | Homemaker | 563 Little River Loop Apt 148, Altamonte Springs, FL 32714-1746 | 2020-11-06 |
| 1851992044 | Robin Kelly Tessman | Homemaker | 230 Cumquat Rd Ne, Lake Placid, FL 33852-5951 | 2020-11-04 |
| 1114526167 | Jennyre Reid | Homemaker | 2471 Nw 175th Ter, Miami Gardens, FL 33056-3611 | 2020-10-21 |
| 1750989315 | Yonile Derivois | Homemaker | 1849 Buchanan Bay Cir Apt 103, Orlando, FL 32839-1894 | 2020-10-15 |
| 1992303606 | Tori Vontrese Reddick | Homemaker | 4720 Magnolia Preserve Ave, Winter Haven, FL 33880-5027 | 2020-10-14 |
| 1346848124 | Seana Williams Shaw | Homemaker | 43 Petey Ct, Ocoee, FL 34761-4429 | 2020-10-13 |
| 1821696865 | Rhonda Denise Cunningham | Homemaker | 510 E Yonge St, Pensacola, FL 32503-3874 | 2020-10-13 |
| 1689271249 | Chiqueata Lashay Evans | Homemaker | 304 E 10th Ave, Havana, FL 32333-1918 | 2020-10-07 |
| 1639776768 | Anyah Poole | Homemaker | 3657 Tyson Green Way, Tallahassee, FL 32310-4963 | 2020-10-01 |
| 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.