YOUR MEDWAIVER PROVIDER INC (NPI# 1497055487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497055487 |
| Entity Type | Organization |
| Organization Name | YOUR MEDWAIVER PROVIDER INC |
| Practice Address |
13200 W Newberry Rd J50 Newberry FL 32669-2764 |
| Practice Telephone | 3524748492 |
| Mailing Telephone | 3524748492 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |
| Authorized Official Name | ANATOLY N LUKYANOV (CEO) |
| Authorized Official Telephone | 3524748492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
13200 W NEWBERRY RD J50 |
| City | NEWBERRY |
| State | FL |
| Zip Code | 32669-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497855910 | Tracey Lynn Carlos | Speech-Language Pathologist | 13200 W Newberry Rd, #d20, Newberry, FL 32669-2764 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695741 | Jonesville Family Dentistry Pa | Dentist | 175 Nw 138th Terrace, Suite 200, Jonesville, FL 32669 | 2019-12-05 |
| 1952889206 | Guan Physical Therapy and Acupuncture, LLC | Acupuncturist | 13577 Nw 2nd Ln, Suite 1, Newberry, FL 32669 | 2018-07-30 |
| 1538611462 | Avery Partners, Inc | Clinic/Center | 105 Sw 140th Terrace, Jonesville, FL 32669 | 2016-10-26 |
| 1760891758 | Fremont Peak Emergency Physicians LLC | Physician Assistant | 12311 W Newberry Road, Newberry, FL 32669 | 2014-08-05 |
| 1962816231 | Advanced Pain Medicine of North Florida LLC | Anesthesiology | 194 Nw 137th Drive, Suite 100, Newberry, FL 32669 | 2014-06-16 |
| 1336571611 | Martin Kids Dental Health Team | Dentist | 13820 W Newberry Rd Ste 100, Jonesville, FL 32669 | 2013-08-08 |
| 1760825699 | 1st Choice Urgent Care Center LLC | Clinic/Center | 128 Nw 137th Drive, Newberry, FL 32669 | 2013-04-10 |
| 1396088068 | Elsie Laguerre | Occupational Therapist | 105 S.w 140th Terrace, Jonesville, FL 32669 | 2013-04-01 |
| 1144530171 | Dana Smith Haase | Speech-Language Pathologist | 105 S.w. 140th Terrace, Jonesville, FL 32669 | 2010-10-08 |
| 1487853271 | Amanda H Mayberry | Massage Therapist | 25355 West Newberry Rd, Newberry, FL 32669 | 2007-07-12 |
| Find all providers in zip 32669 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720411812 | Angel Care Home Care | In Home Supportive Care | 2012 Evans Cir, Newberry, SC 29108-2232 | 2013-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487477 | Benevolent Home Care Solutions, LLC | In Home Supportive Care | 303 N Charles Willis Dr, Midway, FL 32343-4294 | 2020-11-08 |
| 1396346045 | Alea Home Services Corp | In Home Supportive Care | 10300 Sw 72nd St Ste 261a, Miami, FL 33173-3014 | 2020-11-07 |
| 1124629134 | Shameka Ashawn Raines | In Home Supportive Care | 111 N Bay St, Port St Joe, FL 32456-1431 | 2020-11-05 |
| 1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
| 1487254199 | Ahhc Services, LLC | In Home Supportive Care | 2650 Ne 57th St, Ft Lauderdale, FL 33308-2709 | 2020-10-30 |
| 1821698648 | Evolution Home Care LLC | In Home Supportive Care | 7401 Wiles Rd Ste 214, Coral Springs, FL 33067-2038 | 2020-10-30 |
| 1790385334 | Care One, LLC | In Home Supportive Care | 15399 Ne 6th Ave Apt 401, Miami, FL 33162-5076 | 2020-10-30 |
| 1861092801 | Laundry Cleaner Corp | In Home Supportive Care | 7050 Nw 2nd Ave, Miami, FL 33150-4008 | 2020-10-29 |
| 1295334258 | Petagaye A Porter | In Home Supportive Care | 1627 Burnham St, Orlando, FL 32808-6011 | 2020-10-21 |
| 1942809918 | Angel Heart Homemaker and Companion Care Services LLC | In Home Supportive Care | 1423 Se 16th Pl Ste 203, Cape Coral, FL 33990-3891 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on YOUR MEDWAIVER PROVIDER INC.
| 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.