IRENE TUNGOL WILKERSON (NPI# 1548887334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548887334 |
Entity Type | Individual |
Full Name | IRENE TUNGOL WILKERSON |
Practice Address |
325 Norwood St Merritt Island FL 32953-4764 |
Mailing Address |
1014 Woodlawn Rd Rockledge FL 32955-2215 |
Practice Telephone | 3214590530 |
Practice Fax Number | 3214590530 |
Mailing Telephone | 4077157845 |
Mailing Fax Number | 8002402085 |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-06-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | AL11011 | FL | Nursing & Custodial Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306474275 | Irene Marie Wilkerson | Registered Nurse | 259 Maple St, Hapeville, GA 30354-1205 | 2020-03-27 |
Street Address |
325 NORWOOD ST |
City | MERRITT ISLAND |
State | FL |
Zip Code | 32953-4764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578806519 | Norwood Assisted Living, Inc. | Assisted Living Facility | 325 Norwood St, Merritt Island, FL 32953-4764 | 2013-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
Find all providers in zip 32953 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477069961 | Christopher Management, Inc. | Assisted Living Facility | 320 Fortenberry Rd, Merritt Island, FL 32952-3621 | 2017-12-19 |
1942720982 | Cadiz Senior Care | Assisted Living Facility | 1970 Farrington Drive, Merritt Island, FL 32952 | 2017-06-21 |
1306244553 | Salus Beachside LLC | Assisted Living Facility | 1600 Neptune Dr, Merritt Island, FL 32952-5611 | 2014-12-19 |
1104240159 | Alan Gerard Spears | Assisted Living Facility | 1275 N Banana River Dr Unit 5, Merritt Island, FL 32952-5788 | 2014-02-11 |
1538505672 | All One Family Dolphin Inc | Assisted Living Facility | 1405 Dolphin Ave, Merritt Island, FL 32952-5721 | 2013-05-16 |
1396088266 | Our House Alf, Inc. | Assisted Living Facility | 315 Wainai Dr, Merritt Island, FL 32953-3294 | 2013-03-29 |
1629311519 | Melodie's Place LLC | Assisted Living Facility | 715 S Tropical Trl, Merritt Island, FL 32952-4952 | 2013-03-29 |
1578806519 | Norwood Assisted Living, Inc. | Assisted Living Facility | 325 Norwood St, Merritt Island, FL 32953-4764 | 2013-03-28 |
1568705655 | Sela Cedar Creek LLC | Assisted Living Facility | 4279 Judith Ave, Merritt Island, FL 32953-8166 | 2013-03-27 |
1568705606 | Coastal Living LLC | Assisted Living Facility | 1275 N Banana River Dr, Merritt Island, FL 32952-5788 | 2013-03-27 |
Find all providers in MERRITT ISLAND |
City | MERRITT ISLAND |
Zip Code | 32953 |
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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.