PAULETTE'S ADULT FAMILY HOME (NPI# 1609000827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609000827 |
Entity Type | Organization |
Organization Name | PAULETTE'S ADULT FAMILY HOME |
Practice Address |
10122 Timmons Rd Thonotosassa FL 33592-3349 |
Practice Telephone | 8139861011 |
Practice Fax Number | 8139822039 |
Mailing Telephone | 8139861011 |
Mailing Fax Number | 8139822039 |
Enumeration Date | 2009-05-04 |
Last Update Date | 2018-06-20 |
Authorized Official Name | MRS. PAULETTE C WALKER-SLATER (PROVIDER/CNA) |
Authorized Official Telephone | 8139861011 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
========= | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 000015100 | 05 |
Street Address |
10122 TIMMONS RD |
City | THONOTOSASSA |
State | FL |
Zip Code | 33592-3349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538393749 | Paulette C Walker-slater | Custodial Care Facility | 10122 Timmons Rd, Thonotosassa, FL 33592-3349 | 2009-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760514004 | Jorge J Villalba | Psychiatry & Neurology | 12245 Broadwater Loop, Thonotosassa, FL 33592 | 2007-03-12 |
1730571852 | Oliver Buchanan | Custodial Care Facility | 11750 Sterling Rd, Thonotosassa, FL 33592-2122 | 2015-02-26 |
1437585932 | Ruby Francis | Custodial Care Facility | 11806 Sterling Rd, Thonotosassa, FL 33592-2124 | 2013-09-17 |
1154713279 | Ruby Francis | Custodial Care Facility | 11806 Sterling Rd, Thonotosassa, FL 33592-2124 | 2015-02-26 |
1821646258 | Corquisha Mosley | Home Health Aide | 9409 Bethune Dr, Thonotosassa, FL 33592-2130 | 2019-08-28 |
1609303734 | Suncoast Community Health Centers, Inc | Clinic/Center | 9555 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2017-05-19 |
1952495640 | Elaine Marie Mccarter | Pharmacy Technician | 9535 East Fowler Av., Thonotosassa, FL 33592-2139 | 2006-10-03 |
1255352555 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 9535 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2006-07-21 |
1376655993 | Mopelola Daudu | Pharmacist | 9535 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2006-08-31 |
1922443456 | Rj Enterprizes | Private Vehicle | 12966 Morris Bridge Rd, Lot #10, Thonotosassa, FL 33592-2444 | 2013-05-10 |
Find all providers in zip 33592 |
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 |
---|---|---|---|---|
1730571852 | Oliver Buchanan | Custodial Care Facility | 11750 Sterling Rd, Thonotosassa, FL 33592-2122 | 2015-02-26 |
1326438748 | Robert Vereen Adult Family Care Home | Custodial Care Facility | 10010 Benjamin Smith Dr, Thonotosassa, FL 33592-3367 | 2015-01-24 |
1003218603 | Dorothy Bode | Custodial Care Facility | 11930 Fort King Hwy, Thonotosassa, FL 33592-2804 | 2014-09-25 |
1437585932 | Ruby Francis | Custodial Care Facility | 11806 Sterling Rd, Thonotosassa, FL 33592-2124 | 2013-09-17 |
1174010755 | Robert Ponder Vereen | Custodial Care Facility | 10010 Benjamin Smith Dr, Thonotosassa, FL 33592-3367 | 2018-04-18 |
1154713279 | Ruby Francis | Custodial Care Facility | 11806 Sterling Rd, Thonotosassa, FL 33592-2124 | 2015-02-26 |
1538393749 | Paulette C Walker-slater | Custodial Care Facility | 10122 Timmons Rd, Thonotosassa, FL 33592-3349 | 2009-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
1881293843 | Inspire Family Home Care LLC. | Custodial Care Facility | 566 Forsyth Creek Ct, Apopka, FL 32712-3318 | 2020-10-21 |
1336747658 | Eddrena Thornton | Custodial Care Facility | 2233 Bluebird Ave, Bartow, FL 33830-2953 | 2020-10-09 |
1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
1568077469 | Titilayo M Dipe | Custodial Care Facility | 11215 Gold Compass St, Gibsonton, FL 33534-5698 | 2020-09-09 |
1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
1396354395 | Unique Adult Family Care Home Inc. | Custodial Care Facility | 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 | 2020-07-24 |
1790301687 | Nancy Isidor | Custodial Care Facility | 1728 Burnham Ct, Clermont, FL 34714-8048 | 2020-06-17 |
1326662206 | Yuwaret Haines | Custodial Care Facility | 13566 Rudi Loop, Spring Hill, FL 34609-7964 | 2020-06-05 |
1245854686 | Yves Carmen Dorsainvil | Custodial Care Facility | 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 | 2020-06-01 |
Find all providers with the same taxonomy |
City | THONOTOSASSA |
Zip Code | 33592 |
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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.