ANNETTE SIMMONS (NPI# 1518425081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518425081 |
| Entity Type | Individual |
| Full Name | ANNETTE SIMMONS |
| Other Name | MRS. ANNETTE ROBERTS |
| Practice Address |
1292 Dorchester St Port Charlotte FL 33954 |
| Practice Telephone | 8135145333 |
| Mailing Telephone | 8135145333 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417359159 | Annette Susan Simmons I | Point of Service | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2014-09-25 |
| 1487074928 | Annette Rae Simmons | Occupational Therapy Assistant | 305 Mckinley Ave Nw, Canton, OH 44702-1717 | 2014-04-23 |
| 1598914459 | Annette M. Simmons | Counselor | 514 S 13th St, Tacoma, WA 98402-1908 | 2008-09-16 |
| Street Address |
1292 DORCHESTER ST |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881031417 | Eddison Nelson | Custodial Care Facility | 1292 Dorchester St, Port Charlotte, FL 33952-2512 | 2013-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043740665 | Criselda Veronica Romero | Home Health Aide | 24009 Madaca Lane, Apt 104, Port Charlotte, FL 33954 | 2017-06-15 |
| 1942469234 | Johanny Vizcarrondo Colon | Physical Therapist | 24011 Madaca Lane # 108, Port Charlotte, FL 33954 | 2008-06-03 |
| 1467638163 | Qrs LLC | Clinic/Center | 17218 Toledo Blade Blvd., Unit 7, Port Charlotte, FL 33954 | 2008-01-14 |
| 1023199155 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 18500 Veterans Boulevard, Unit 4, Port Charlotte, FL 33954 | 2006-10-17 |
| 1174577290 | Karen Kalbfeld | Nurse Anesthetist, Certified Registered | 327 Kindred Blvd, Port Charlotte, FL 33954 | 2006-05-22 |
| 1942319744 | Lifeline Health Care of Southwest Florida, Inc. | Home Health | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2006-08-29 |
| 1154617553 | Anthony Richard La Forgia | Counselor | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2011-06-23 |
| 1780227199 | Sergio Pedro Castro | Behavioral Analyst | 18245 Paulson Dr Ste 113, Port Charlotte, FL 33954-1019 | 2019-10-18 |
| 1295201846 | Grissel Alfonso Gonzalez | Behavior Technician | 18245 Paulson Dr Ste 130, Port Charlotte, FL 33954-1019 | 2018-10-22 |
| 1336687680 | Christina Jean Lerch | Counselor | 18245 Paulson Dr Unit 116, Port Charlotte, FL 33954-1019 | 2017-02-07 |
| Find all providers in zip 33954 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699646 | Raymond B Hendricks | Custodial Care Facility | 1306 Annette St, Port Charlotte, FL 33980 | 2015-09-15 |
| 1366864795 | Ivy Flo Moore | Custodial Care Facility | 23145 Gray Ave, Port Charlotte, FL 33980-8587 | 2014-01-21 |
| 1922438464 | Julliet Jackson | Custodial Care Facility | 17345 Edgewater Dr, Port Charlotte, FL 33948-2343 | 2013-11-20 |
| 1508203571 | Chery Adult Family Care Home | Custodial Care Facility | 1048 Renoir St, Port Charlotte, FL 33952-1762 | 2013-05-30 |
| 1881031417 | Eddison Nelson | Custodial Care Facility | 1292 Dorchester St, Port Charlotte, FL 33952-2512 | 2013-05-22 |
| 1356788996 | Jeanette Gadsden | Custodial Care Facility | 1113 Fleetwood Dr Nw, Port Charlotte, FL 33948-2001 | 2013-05-22 |
| 1750727061 | Spliddie Harrison | Custodial Care Facility | 23529 Quasar Blvd, Port Charlotte, FL 33980-3120 | 2013-05-14 |
| 1346686714 | George Harris | Custodial Care Facility | 152 Torrington St, Port Charlotte, FL 33954-2424 | 2013-05-13 |
| 1174969588 | Annette Angela Hughes | Custodial Care Facility | 18520 Satsuma Ave, Port Charlotte, FL 33948-7520 | 2013-05-13 |
| 1528404928 | Merona Grey | Custodial Care Facility | 23167 Wilkinson Ave, Port Charlotte, FL 33980-5865 | 2013-05-13 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33954 |
Please comment or provide details below to improve the information on ANNETTE SIMMONS.
| 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.