EAKENS GROUP HOME (NPI# 1629526074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629526074 |
| Entity Type | Organization |
| Organization Name | EAKENS GROUP HOME |
| Practice Address |
8402 Rio Bravo Ct 3 Tampa FL 33617-7083 |
| Practice Telephone | 8327270118 |
| Practice Fax Number | 8327270118 |
| Mailing Telephone | 8327270118 |
| Mailing Fax Number | 8327270118 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | MISS RONEISHA MILNER (LICENSED PRACTICAL NURSE) |
| Authorized Official Telephone | 8327270118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
PN5211100 | FL | Nursing & Custodial Care Facilities |
| Street Address |
8402 RIO BRAVO CT 3 |
| City | TAMPA |
| State | FL |
| Zip Code | 33617-7083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1942840467 | Care Medrx LLC | Pharmacy | 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 | 2020-01-13 |
| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1184112427 | Imperial Connections Support Programs, LLC | In Home Supportive Care | 9806 N Connechusett Rd, Tampa, FL 33617 | 2018-04-23 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
| Find all providers in zip 33617 | ||||
| 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 |
|---|---|---|---|---|
| 1669025698 | Marcson Erdain | Custodial Care Facility | 2313 W Arch St, Tampa, FL 33607-5303 | 2019-07-18 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1437636024 | Tonia Hammond | Custodial Care Facility | 3819 Beechwood Blvd, Tampa, FL 33619-1224 | 2018-07-26 |
| 1295275360 | Myrta Cruz Rivera | Custodial Care Facility | 11008 N 52nd St, Tampa, FL 33617-2804 | 2017-03-08 |
| 1821532243 | Lawanza Llanos | Custodial Care Facility | 1911 E 143rd Ave, Tampa, FL 33613-2536 | 2016-12-05 |
| 1083072789 | Diane's Speial Home Care, Inc | Custodial Care Facility | 8206 Pennywell Pl, Tampa, FL 33615-1625 | 2016-02-09 |
| 1689030330 | Katherine Tillman | Custodial Care Facility | 8119 N Mulberry St, Tampa, FL 33604-3443 | 2016-01-11 |
| 1801269022 | Turning Pages LLC | Custodial Care Facility | 2931 Banza St, Tampa, FL 33605-2769 | 2015-11-10 |
| 1891170460 | Claudette Johnson | Custodial Care Facility | 4617 Hidden Shaddow Dt, Tampa, FL 33614 | 2015-07-24 |
| 1164800819 | Miledy Martinez | Custodial Care Facility | 6508 Amundson Ct, Tampa, FL 33634-4731 | 2015-05-14 |
| Find all providers in TAMPA | ||||
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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.