AUTHENTIC MINDS LLC (NPI# 1659899565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659899565 |
Entity Type | Organization |
Organization Name | AUTHENTIC MINDS LLC |
Practice Address |
718 Baxter Avenue S Lehigh Acres FL 33974 |
Mailing Address |
718 Baxter Ave S Lehigh Acres FL 33974-9747 |
Practice Telephone | (239) 271-5909 |
Mailing Telephone | 2392715909 |
Enumeration Date | 2017-08-31 |
Last Update Date | 2017-08-31 |
Authorized Official Name | SHIQUITTA MATHIS (ADMINISTRATOR) |
Authorized Official Telephone | 2392715909 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
Street Address |
718 BAXTER AVENUE S |
City | LEHIGH ACRES |
State | FL |
Zip Code | 33974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962907543 | Louvedor B Alexandre | Technician, Other | 1037 Maddock St. E, Lehigh Acres, FL 33974 | 2018-03-27 |
1427421221 | Charmaine Williams | Custodial Care Facility | 420 Putnam Avenue, Lehigh Acres, FL 33974 | 2015-11-03 |
1952773640 | Jerome Robert Ebacher | Counselor | 826 Grenada Ave, Lehigh Acres, FL 33974 | 2015-10-21 |
1841621067 | Jesus A. Madera | Student in an Organized Health Care Education/Training Program | 1111 Hudson St. E., Lehigh Acres, FL 33974 | 2013-12-13 |
1346591062 | Olga Maria Rodriguez-rivera | Case Manager/Care Coordinator | 766 Holmes Ave, Lehigh Acres, FL 33974 | 2012-09-20 |
1588939102 | Riva Xylina Bennett | Counselor | 1109 Edelweiss St E, Lehigh Acres, FL 33974-0434 | 2012-03-14 |
1962949867 | Galaxy Home Health Care Inc | Home Health | 711 Knox Ave S, Lehigh Acres, FL 33974-0537 | 2017-01-30 |
1578535571 | Lehigh Acres Fire Control & Rescue District | Ambulance | 636 Thomas Sherwin Ave S, Lehigh Acres, FL 33974-0555 | 2006-02-03 |
1396221305 | Katiana Louis | Behavioral Analyst | 1108 Estate St E, Lehigh Acres, FL 33974-0557 | 2018-07-12 |
1164835088 | Lisbet M Montero | Occupational Therapist | 497 Linden Ave S, Lehigh Acres, FL 33974-0564 | 2014-06-09 |
Find all providers in zip 33974 |
Taxonomy Code | 385HR2060X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902101488 | Providence Noble Care Inc | Respite Care | 2606 64th St W, Lehigh Acres, FL 33971-0859 | 2011-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033719604 | Kimberly D Dawkins | Respite Care | 742 Starland St Se, Palm Bay, FL 32909-4453 | 2020-10-31 |
1538776695 | Charismatic Relentless Care LLC | Respite Care | 5933 Nw Brenda Cir, Port Saint Lucie, FL 34986-3637 | 2020-09-23 |
1649898842 | Hearts&hands Care Agency Inc | Respite Care | 1567 Nw 29th Rd Apt 3, Gainesville, FL 32605-3066 | 2020-07-14 |
1114545035 | Careplus Services, Inc | Respite Care | 10005 Sw 91st Ter, Miami, FL 33176-1707 | 2020-07-07 |
1821615022 | Leon Advocacy and Resource Center, Inc. | Respite Care | 1949 Commonwealth Ln, Tallahassee, FL 32303-3196 | 2020-07-03 |
1861054801 | Jay Sweatt | Respite Care | 4280 70th Ave N, Pinellas Park, FL 33781-4549 | 2019-06-29 |
1114581907 | Kaidra Quantai Thonpkins | Respite Care | 118 Thistle Trl, Hawthonre, FL 32604 | 2019-04-26 |
1982160511 | Germitha Hora | Respite Care | 6460 Nw 28th St, Sunrise, FL 33313-1102 | 2019-02-19 |
1790258887 | Unlimited Healthcare Provider Inc | Respite Care | 2101 Vista Pkwy Ste 278, West Palm Beach, FL 33411-2706 | 2019-01-10 |
1891260832 | S & K's Home Health Inc | Respite Care | 4487 Sw 49th Ave, Ocala, FL 34474-9683 | 2018-10-05 |
Find all providers with the same taxonomy |
City | LEHIGH ACRES |
Zip Code | 33974 |
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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.