LESLIE FOSTER HOME (NPI# 1629290721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629290721 |
| Entity Type | Organization |
| Organization Name | LESLIE FOSTER HOME |
| Practice Address |
4063 Baseball Pond Road Brooksville FL 34602 |
| Practice Telephone | 3525440337 |
| Practice Fax Number | 3525440391 |
| Mailing Telephone | 3525440337 |
| Mailing Fax Number | 3525440391 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHERRY LESLIE (OWNER) |
| Authorized Official Telephone | 3525440337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
4063 BASEBALL POND ROAD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669975868 | Tachara Stanton | Behavioral Analyst | 30958 Water Lily Dr, Brooksville, FL 34602 | 2018-03-14 |
| 1255343901 | Guillermo Mantilla Cadena | Psychiatry & Neurology | 22770 Skyview Cir, Brooksville, FL 34602-3106 | 2006-08-12 |
| 1407218092 | Foundations Foot and Ankle LLC | Podiatrist | 22319 Powell Rd, Brooksville, FL 34602-5705 | 2016-03-23 |
| 1699807982 | Thomas S. Hogan Sr. | Pharmacist | 22331 Powell Rd, Brooksville, FL 34602-5705 | 2007-03-12 |
| 1720634645 | Cassandrea Marie Bloxsom-joiner | Behavior Technician | 1211 Culbreath Rd, Brooksville, FL 34602-6003 | 2019-08-15 |
| 1114431194 | Beket Lott | Counselor | 201 Culbreath Rd, Brooksville, FL 34602-6017 | 2017-11-28 |
| 1194891929 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 201 Culbreath Rd, Brooksville, FL 34602-6017 | 2006-11-24 |
| 1982773024 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 397 Culbreath Rd, Brooksville, FL 34602-6019 | 2006-11-06 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| 1134442841 | Shannon Marie Dimurro | Adult Companion | 7379 Robb Rd, Brooksville, FL 34602-7147 | 2010-03-09 |
| Find all providers in zip 34602 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241804 | Assisted Living of Florida, Limited, Inc. | Custodial Care Facility | 10860 118th St, Seminole, FL 33778-3625 | 2020-06-29 |
| 1952936841 | Tequesta Dukes | Custodial Care Facility | 1713 W Marshall Lake Dr, Apopka, FL 32703-1622 | 2020-03-11 |
| 1881254712 | Claudette Paul | Custodial Care Facility | 4103 Day Bridge Pl, Ellenton, FL 34222-7236 | 2019-06-13 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1598204786 | Samantha Lamadieu | Custodial Care Facility | 709 S 51st St, Tampa, FL 33619-3703 | 2017-02-21 |
| 1578013033 | Aj Care Inc | Custodial Care Facility | 11990 Mellow Ct, West Palm Beach, FL 33411-9127 | 2016-10-09 |
| 1508225053 | Mccall Service, Inc. | Custodial Care Facility | 415 Nw 250th St, Suite 1, Newberry, FL 32669-4473 | 2016-02-12 |
| 1043679590 | Mccall Service, Inc. | Custodial Care Facility | 10211 E Columbus Dr, Tampa, FL 33619-7853 | 2016-02-12 |
| 1780043232 | Mccall Service, Inc. | Custodial Care Facility | 410 E Paul Russell Rd, Tallahassee, FL 32301-6960 | 2016-02-12 |
| 1588022909 | Brendlyn Assisted Living LLC | Custodial Care Facility | 81 Buttonworth Dr, Palm Coast, FL 32137-3507 | 2016-01-30 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34602 |
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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.