LISE'S GARDEN AFCH, LLC (NPI# 1639678139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639678139 |
| Entity Type | Organization |
| Organization Name | LISE'S GARDEN AFCH, LLC |
| Practice Address |
1542 Providence Cir Orlando FL 32818-5708 |
| Practice Telephone | 4076684654 |
| Mailing Telephone | 4076684654 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Authorized Official Name | LISE I HYPPOLITE-ALPHONSE (ADMINISTRATOR) |
| Authorized Official Telephone | 3219488533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906849 | FL | Nursing & Custodial Care Facilities |
| Street Address |
1542 PROVIDENCE CIR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32818-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285275206 | Shareen Sutherland | Nurse Practitioner | 1896 Lake Hill Circle, Orlando, FL 32818 | 2019-10-01 |
| 1235611245 | Welcome Home Wellness Center LLC | Clinic/Center | 7732 Silver Star Rd Ste 2, Orlando, FL 32818 | 2018-09-06 |
| 1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
| 1598283418 | 2 Heart To Heart Group Home, Inc | Homemaker | 6617 Kristin Ct, Orlando, FL 32818 | 2017-08-30 |
| 1508383159 | Adancia Sainte Ducleron | Behavior Technician | 8315 Snowfire Dr, Orlando, FL 32818 | 2017-08-24 |
| 1891210910 | Eddie L. Banks Jr. | Counselor | 2724 Silkwood Cir., 927, Orlando, FL 32818 | 2017-08-09 |
| 1275077018 | Mirlande Nelson | Specialist | 501 W Colonial Dr, Orlando, FL 32818 | 2016-12-13 |
| 1477906782 | Adrain Yvette Lee | Nurse Practitioner | 6388 Silver Star Rd Ste 2b, Orlando, FL 32818 | 2016-07-21 |
| 1013389659 | Jessica Jocelyn | Speech-Language Pathologist | 6727 Meritmoor Circle, Orlando, FL 32818 | 2015-10-22 |
| 1104226745 | Emmanuella Delorme | Behavior Technician | 7225 Woodridge Park Dr, 8102, Orlando, FL 32818 | 2014-09-02 |
| Find all providers in zip 32818 | ||||
| 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 |
|---|---|---|---|---|
| 1114551884 | Christle Haven LLC | Custodial Care Facility | 2523 Leston Ct, Orlando, FL 32817-2614 | 2020-03-02 |
| 1942772520 | Angels of Jesus | Custodial Care Facility | 1404 N Observatory Dr, Orlando, FL 32818-5916 | 2018-12-20 |
| 1821506585 | Have Faith Care Services | Custodial Care Facility | 927 S Goldwyn Ave Ste 117, Orlando, FL 32805-4389 | 2018-01-16 |
| 1144743733 | A Home With Tlc LLC | Custodial Care Facility | 4116 Lenox Blvd, Orlando, FL 32811-4134 | 2017-07-25 |
| 1659824357 | Marie Francois | Custodial Care Facility | 8655 Tarragon Dr, Orlando, FL 32825-3644 | 2016-07-28 |
| 1003288499 | Edith Bort | Custodial Care Facility | 227 Woodbury Pines Cir, Orlando, FL 32828-9086 | 2015-10-23 |
| 1992106496 | Serenity Place Family Care Group Home | Custodial Care Facility | 2011 Carrington Dr, Orlando, FL 32807-5206 | 2014-09-16 |
| 1386045813 | Hermina Jean | Custodial Care Facility | 3502 Londonberry Blvd, Orlando, FL 32808-3629 | 2014-09-16 |
| 1790192979 | Serenity Adult Family Care Home LLC | Custodial Care Facility | 748 Mellowood Ave, Orlando, FL 32825-8077 | 2014-07-19 |
| 1043645716 | Allheart Board and Care | Custodial Care Facility | 2668 Logandale Dr, Orlando, FL 32817-4722 | 2013-09-12 |
| 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.