EDENA PAVILIS RAYMOND (NPI# 1518478585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518478585 |
Entity Type | Individual |
Full Name | EDENA PAVILIS RAYMOND |
Credential | SOLO PROVIDER |
Practice Address |
9822 Brookfield Farm Ct Apt 203 Riverview FL 33578-7575 |
Practice Telephone | 8134582859 |
Practice Fax Number | 8133985801 |
Mailing Telephone | 8134582859 |
Mailing Fax Number | 8133985801 |
Enumeration Date | 2017-10-18 |
Last Update Date | 2017-10-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 017204400 | 05 |
Street Address |
9822 BROOKFIELD FARM CT APT 203 |
City | RIVERVIEW |
State | FL |
Zip Code | 33578-7575 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598371015 | Carnegie Cares Home Care & Services LLC | In Home Supportive Care | 1004 Rose Petal Place, Riverview, FL 33578 | 2020-09-21 |
1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
1073138012 | Limitless Therapy, LLC. | Physical Therapist | 8637 Turnstone Shore Lane, Riverview, FL 33578 | 2020-06-16 |
1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
1154963759 | Kenneshia M Martin | Physical Therapy Assistant | 13135 Early Run Lane, Riverview, FL 33578 | 2019-10-15 |
1376015180 | Dentists of Riverview, Pa | Dentist | 13123 S. Us Hwy 301, Riverview, FL 33578 | 2018-12-19 |
1285102152 | Nothing About You Without You, LLC | Case Management | 10428 Yellow Spice Ct, Riverview, FL 33578 | 2018-11-08 |
1053887521 | Natasha Dickens | Counselor | 5523 Legacy Crescent Place, Unit 204, Riverview, FL 33578 | 2018-10-22 |
1376025965 | Helaina Dollins | Specialist/Technologist | 3347 Magnolia Springs Drive, Apt 203, Riverview, FL 33578 | 2018-08-30 |
Find all providers in zip 33578 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255959995 | Felecia A Davis | Home Health | 9508 Windermere Park Cir Apt 201, Riverview, FL 33578-2587 | 2020-07-09 |
1356963797 | Kaoni Hicks | Home Health | 10340 Avelar Ridge Dr, Riverview, FL 33578-7563 | 2020-05-08 |
1518506252 | Michael Stolarenko | Home Health | 10111 Allenwood Dr, Riverview, FL 33569-5958 | 2019-12-28 |
1538611330 | Jeffrey Schultz | Home Health | 18555 Fort St, Suite A, Riverview, MI 48193-7436 | 2016-10-27 |
1356727119 | Medical Mobile Unlimited | Home Health | 9855 Myrtle Creek Drive Ste 104, Riverview, FL 33578 | 2015-08-04 |
1710362066 | Walkerchoice Personal & Companion Care Services | Home Health | 11312 Jim Ct, Riverview, FL 33569-5965 | 2015-07-28 |
1104220706 | Caringtan Care Inc | Home Health | 9761 Carlsdale Dr, Riverview, FL 33578-3811 | 2014-10-10 |
1699011833 | Dynamik Balance, LLC | Home Health | 10506 Marsanne Pl, Riverview, FL 33578-4319 | 2012-12-16 |
1689924896 | Family First Homecare, LLC | Home Health | 6336 Us Highway 301 S, Riverview, FL 33578-3829 | 2012-09-14 |
1619279445 | Kare One Developmental Services, LLC | Home Health | 13722 Gentle Woods Ave, Riverview, FL 33569-2739 | 2010-11-30 |
Find all providers in RIVERVIEW |
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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.