LISA M. DEGENNARO (NPI# 1639414865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639414865 |
| Entity Type | Organization |
| Organization Name | LISA M. DEGENNARO |
| Practice Address |
4434 Northampton Dr New Port Richey FL 34653-6311 |
| Practice Telephone | 7279463395 |
| Mailing Telephone | 7279463395 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | MRS. LISA MARIE DEGENNARO (OCCUPATIONAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 7279463395 |
| Authorized Official Credential | COTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 11725 | FL | Nursing & Custodial Care Facilities |
| Street Address |
4434 NORTHAMPTON DR |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34653-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956033 | All Best Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 7114 Congress Street, New Port Richey, FL 34653 | 2018-09-20 |
| 1851880132 | Select Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 4575 Whitton Way, Unit# 1119, New Port Richey, FL 34653 | 2018-05-02 |
| 1477050151 | A & B of Pasco, Inc | Non-emergency Medical Transport (VAN) | 6449 Sutters Mill Rd, New Port Richey, FL 34653 | 2018-04-10 |
| 1841704988 | Kelly R Stryjewski | Nurse Practitioner | 6331 State Rd 54, New Port Richey, FL 34653 | 2017-11-28 |
| 1568974921 | Life Back, LLC. | Durable Medical Equipment & Medical Supplies | 8018 Old County Road 54, New Port Richey, FL 34653 | 2017-10-25 |
| 1477002558 | Amy Rebecca Patten | Nurse Practitioner | Gulfside Hospice, 6117 Trouble Creek Road, New Port Richey, FL 34653 | 2016-09-29 |
| 1972976900 | Steven Cheung | Physical Therapist | 5138 Deer Park Drive, New Port Richey, FL 34653 | 2015-11-13 |
| 1164804852 | Drew Finnegan | Chiropractor | 7653 Cypress Trace Ct, New Port Richey, FL 34653 | 2015-06-18 |
| 1699155184 | Chad Exceen | Counselor | 8002 King Helie Blvd., Baycare Behavioral Health, New Port Richey, FL 34653 | 2015-06-01 |
| 1881025005 | Elm Tree Lodge | Preferred Provider Organization | 6205 Viola Lane, New Port Richey, FL 34653 | 2013-12-13 |
| Find all providers in zip 34653 | ||||
| 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 |
|---|---|---|---|---|
| 1548883028 | Trinity Place Assisted Living LLC | Assisted Living Facility | 8684 Old County Road 54, New Port Richey, FL 34653-6412 | 2020-05-19 |
| 1215486071 | Divine Heritage, LLC | Assisted Living Facility | 11911 Pine Forest Dr, New Port Richey, FL 34654-1462 | 2016-09-22 |
| 1982089462 | Angels Senior Living In New Port Richey | Assisted Living Facility | 6716 Congress St, New Port Richey, FL 34653-2845 | 2015-07-24 |
| 1265811947 | Rise and Shine Assisted Living Facility | Assisted Living Facility | 3535 Connon Dr, New Port Richey, FL 34652-6287 | 2015-05-27 |
| 1427451574 | Home Sweet Home Assisted Living of New Port Richey | Assisted Living Facility | 5237 Trouble Creek Rd, New Port Richey, FL 34652-4949 | 2014-10-03 |
| 1316353402 | American Well Care LLC | Assisted Living Facility | 6333 Langston Ave, New Port Richey, FL 34653-1014 | 2014-07-09 |
| 1487072575 | Loving In-home Care Inc | Assisted Living Facility | 8365 Cessna Dr, New Port Richey, FL 34654-5119 | 2014-04-04 |
| 1891112298 | Guided Management, Inc. | Assisted Living Facility | 5341 Palmetto Rd, New Port Richey, FL 34652-1716 | 2014-03-24 |
| 1376967133 | Emily C. Villamin | Assisted Living Facility | 6753 Carpel Dr, New Port Richey, FL 34653-4526 | 2014-02-13 |
| 1295179802 | Cinnamon Cove Alf, Inc | Assisted Living Facility | 5641 Montana Ave, New Port Richey, FL 34652-2643 | 2013-04-25 |
| Find all providers in NEW PORT RICHEY | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34653 |
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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.