IMMACULATE HOMECARE CORP (NPI# 1447884457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447884457 |
| Entity Type | Organization |
| Organization Name | IMMACULATE HOMECARE CORP |
| Practice Address |
2204 Ashland Blvd Orlando FL 32808-4906 |
| Practice Telephone | 3157234157 |
| Mailing Telephone | 3157234157 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | MS. MYRIAM I PLONQUE (PRESIDENT) |
| Authorized Official Telephone | 3157234157 |
| Authorized Official Credential | RN-MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103671 | Immaculate Homecare Corp | Home Health | 150 Dean St, Valley Stream, NY 11580-4910 | 2019-06-18 |
| Street Address |
2204 ASHLAND BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32808-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1811522691 | Lorraine Viviene Bromfield Alleyne | In Home Supportive Care | 3536 Pine Ridge Court, Orlando, FL 32808 | 2020-03-11 |
| 1750913760 | 2 God B Thy Glory 4 Healing Angels | Respite Care | 5553 #1 Springhill Dr, Orlando, FL 32808 | 2020-02-07 |
| 1720620537 | Tamara Jefferson | Occupational Therapist | 5164 Clarion Oaks Drive, Orlando, FL 32808 | 2019-10-14 |
| 1750851341 | Gladys Joseph | Nurse's Aide | 805 Terry Lynn Drive, Orlando, FL 32808 | 2018-11-27 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1407342322 | Camha P Nguyen | Dentist | 2619 Greenfield Ave, Orlando, FL 32808 | 2018-07-03 |
| 1568964039 | Keep A Kid On Track | Counselor | 623 Pine Hill Road, Orlando, FL 32808 | 2018-03-01 |
| 1629507074 | Janelle Manning | Nurse's Aide | 5030 Rosamond Drive, Apt 2712, Orlando, FL 32808 | 2017-06-08 |
| 1770018137 | Andrew Owen | Chiropractor | 822 Mercy Dr, Orlando, FL 32808 | 2017-04-24 |
| Find all providers in zip 32808 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707415 | Active Dl Services Inc. | Clinic/Center | 1830 Bel Air Ave, Orlando, FL 32812-8709 | 2020-07-09 |
| 1912523879 | Your Light Residential Care LLC | Clinic/Center | 2640 Albion Ave, Orlando, FL 32833-4342 | 2020-06-17 |
| 1477174225 | Meghan Mullany | Clinic/Center | 14815 Faberge Dr, Orlando, FL 32828-5119 | 2020-05-04 |
| 1770116410 | Daphene Saintil | Clinic/Center | 5273 Millenia Blvd Apt 202, Orlando, FL 32839-3408 | 2020-02-21 |
| 1225671514 | Annette I Vigeant | Clinic/Center | 19668 Mardi Gras St, Orlando, FL 32833-3720 | 2019-10-20 |
| 1225689284 | Marie Mickaelle Auguste | Clinic/Center | 1421 Magellan Cir, Orlando, FL 32818-6733 | 2019-09-21 |
| 1639737760 | Amanda Garcia Ruiz | Clinic/Center | 14127 Sanctuary Terrace Ln, Orlando, FL 32832-6643 | 2019-06-04 |
| 1053976126 | Achille Family Nursing Care LLC | Clinic/Center | 12632 Boggy Pointe Dr, Orlando, FL 32824-4881 | 2019-05-04 |
| 1205499787 | K Brown Med-waiver Services Inc | Clinic/Center | 3250 Mahalia Pl, Orlando, FL 32805-2918 | 2019-04-19 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on IMMACULATE HOMECARE CORP.
| 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.