PREDESTINED 4 PURPOSE INC (NPI# 1548619950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548619950 |
| Entity Type | Organization |
| Organization Name | PREDESTINED 4 PURPOSE INC |
| Practice Address |
6826 Gadwall Lane Orlando FL 32810 |
| Practice Telephone | 4072851249 |
| Practice Fax Number | 3214245886 |
| Mailing Telephone | 4072851249 |
| Mailing Fax Number | 3214245886 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | MS. BOBBIE COOK (OWNER) |
| Authorized Official Telephone | 4072851249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 234231 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 693730696 | 05 |
| Street Address |
6826 GADWALL LANE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| 1376984138 | Maria Knight | Speech-Language Pathologist | 8710 Maitland Summit Blvd, Orlando, FL 32810 | 2013-07-09 |
| Find all providers in zip 32810 | ||||
| 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 |
|---|---|---|---|---|
| 1649879073 | Love and Faith Senior Home Care | Home Health | 5434 Old Oak Tree Dr, Orlando, FL 32808-5994 | 2020-10-16 |
| 1588261234 | Precious Jewels Support Services Inc | Home Health | 2296 River Park Cir, Orlando, FL 32817-4880 | 2020-10-06 |
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1356951719 | Miraculous Care LLC | Home Health | 4457 Ribblesdale Ln, Orlando, FL 32808-2031 | 2020-07-31 |
| 1417566506 | Arielys Perez Caraballo | Home Health | 10256 Laxton St, Orlando, FL 32824-4430 | 2020-07-24 |
| 1336767912 | Enriched Life Care | Home Health | 1909 Ranch Estate Dr, Orlando, FL 32825-8407 | 2020-07-09 |
| 1013533769 | Nicole Homecare Services LLC | Home Health | 1000 Delphinium Dr, Orlando, FL 32825-6710 | 2020-06-18 |
| 1336764497 | Platinum Home Care Services LLC | Home Health | 5631 Gatlin Ave Apt D, Orlando, FL 32812-7746 | 2020-06-14 |
| 1104466192 | Alicia Maria Richardson | Home Health | 6100 Stevenson Dr Unit 208, Orlando, FL 32835-2396 | 2020-01-08 |
| 1447890454 | Stephanie Taylor | Home Health | 2598 Robert Trent Jones Dr Apt 1021, Orlando, FL 32835-6282 | 2020-01-08 |
| Find all providers in ORLANDO | ||||
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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.