JOHNETHA BERRY (NPI# 1619406881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619406881 |
| Entity Type | Individual |
| Full Name | JOHNETHA BERRY |
| Practice Address |
4543 College Dr Orlando FL 32811-4348 |
| Practice Telephone | 4072760189 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
4543 COLLEGE DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32811-4348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640168 | Carlo Lavern Shaw | Counselor | 6150 Metro West Blvd Suite 103, Orlando, FL 32811 | 2019-10-09 |
| 1639734791 | Malissa Brown | Home Health | 5208 Greenery Ct, Orlando, FL 32811 | 2019-05-04 |
| 1619431665 | Health Care Center for The Homeless Inc | Pharmacy | 4426 Old Winter Garden Rd, Orlando, FL 32811 | 2019-01-24 |
| 1649763178 | Marie Alexandra Senat I | Adult Companion | 640 Grandiflora Drive, Orlando, FL 32811 | 2018-06-09 |
| 1851893309 | Next Level Physiotherapy and Performance | Physical Therapist | 4700 Lb Mcleod Rd, Orlando, FL 32811 | 2018-03-01 |
| 1447798681 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4205 Sw 34th Street, Orlando, FL 32811 | 2017-02-08 |
| 1386054161 | Leondra Foster | Home Health | 4787 King Cole Blvd, Orlando, FL 32811 | 2014-05-02 |
| 1790115681 | Calvin Collins Jr. | Internal Medicine | 4403 Vineland Rd, Suite B5, Orlando, FL 32811 | 2013-11-14 |
| 1043514458 | Legacy V Medical | Durable Medical Equipment & Medical Supplies | 3113 Willie Mays Pkwy, Ste.1100-b, Orlando, FL 32811 | 2010-12-28 |
| 1477871440 | Rm Toussaint Md LLC | Surgery | 4600 S. Kirkman Road, # 218, Orlando, FL 32811 | 2010-05-14 |
| Find all providers in zip 32811 | ||||
| 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 |
|---|---|---|---|---|
| 1396352159 | Harbor Dr. Phillips Operating, LLC | Assisted Living Facility | 7233 Della Dr, Orlando, FL 32819-5127 | 2020-09-25 |
| 1467061960 | O.s.j. Family Place | Assisted Living Facility | 690 Palmera St, Orlando, FL 32811-8326 | 2020-07-30 |
| 1649888926 | Sweet Home Assisting Living Corp | Assisted Living Facility | 13533 Madison Dock Rd, Orlando, FL 32828-9511 | 2020-07-22 |
| 1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
| 1023644713 | True Valley Care, LLC | Assisted Living Facility | 935 Lake Sherwood Dr, Orlando, FL 32818-6610 | 2020-03-13 |
| 1699300277 | Rita De Acacias Alf Corp | Assisted Living Facility | 5241 Lima Pl, Orlando, FL 32807-1624 | 2020-03-04 |
| 1356809198 | Medical Foster Homes LLC | Assisted Living Facility | 9670 Lupine Ave, Orlando, FL 32824-8744 | 2019-03-12 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1518465848 | Centy's Alf, Inc | Assisted Living Facility | 3016 Lambath Rd, Orlando, FL 32818-3019 | 2018-02-01 |
| 1922515949 | Bridgeway Alf Corp. | Assisted Living Facility | 13437 Old Dock Rd, Orlando, FL 32828-6197 | 2017-12-29 |
| 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.