THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC (NPI# 1669546321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669546321 |
| Entity Type | Organization |
| Organization Name | THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC |
| Other Organization Name | SHELL POINT NURSING PAVILION |
| Practice Address |
15071 Shell Point Blvd Fort Myers FL 33908-1639 |
| Mailing Address |
15000 Shell Point Blvd Suite#100 Fort Myers FL 33908-1637 |
| Practice Telephone | 2394542146 |
| Practice Fax Number | 2394542111 |
| Mailing Telephone | 2394542146 |
| Mailing Fax Number | 2394542111 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | TASHA MARIE VASSAR (MEDICAL BILLING MANAGER) |
| Authorized Official Telephone | 2394337937 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE CHRISTIAN AND MISSIONARY ALLIANCE FOUNDATION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022920200 | 05 |
| Other Name | Type Code |
|---|---|
| Shell Point Nursing Pavilion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386073088 | The Christian & Missionary Alliance Foundation Inc | Assisted Living Facility | 3600 Kings Crown Ct, Fort Myers, FL 33908-1648 | 2013-11-04 |
| 1093140451 | The Christian & Missionary Alliance Foundation Inc | Assisted Living Facility | 13901 Shell Point Plz, Fort Myers, FL 33908-2898 | 2013-09-04 |
| 1215042247 | The Christian & Missionary Alliance Foundation Inc | Pharmacy | Shell Point Retirement Community, 15051 Shell Point Blvd, Ft Myers, FL 33908 | 2006-08-20 |
| 1932766953 | The Christian & Missionary Alliance Foundation Inc | Home Health | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2019-05-24 |
| 1740759844 | The Christian & Missionary Alliance Foundation Inc | Nursing Care | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2018-11-19 |
| 1821160607 | The Christian & Missionary Alliance Foundation Inc | Psychologist | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2006-11-15 |
| Street Address |
15071 SHELL POINT BLVD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104447945 | Jocelyn Dawal | Speech-Language Pathologist | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2020-05-04 |
| 1215406228 | Laurie Ann Knight Kjoller | Social Worker | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2018-11-19 |
| 1093297715 | Jeffrey Aaron Pennock I | Occupational Therapist | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2018-08-29 |
| 1871075663 | Freddy L Rodriguez Sr. | Occupational Therapist | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2018-08-29 |
| 1215392022 | Christine Gulotta | Physical Therapist | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2015-12-21 |
| 1851604813 | Amy Jo Dudley | Nurse Practitioner | 15071 Shell Point Blvd, Shell Point Retirement Community Pavilion, Fort Myers, FL 33908-1639 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409141 | Lee Memorial Health System | Skilled Nursing Facility | 13960 Plantation Rd, Fort Myers, FL 33912-4303 | 2018-09-06 |
| 1386958809 | Usbd Hospitalists & Consultants Inc | Skilled Nursing Facility | 14015 Danpark Loop, Fort Myers, FL 33912-6854 | 2010-07-27 |
| 1699786061 | Healthpark Care Center, Inc. | Skilled Nursing Facility | 16131 Roserush Ct, Fort Myers, FL 33908-3634 | 2006-08-11 |
| 1992748628 | Cypress Cove At Health Park of Florida, Inc. | Skilled Nursing Facility | 10500 Cypress Cove Dr, Fort Myers, FL 33908-6692 | 2006-06-13 |
| 1952357535 | Lee Health Care Associates LLC | Skilled Nursing Facility | 2826 Cleveland Ave, Fort Myers, FL 33901-6001 | 2006-05-26 |
| 1962457333 | Evans Health Care Associates LLC | Skilled Nursing Facility | 3735 Evans Ave, Fort Myers, FL 33901-9302 | 2006-05-24 |
| 1346294766 | Hqm of Fort Myers, LLC | Skilled Nursing Facility | 13755 Golf Club Pkwy, Fort Myers, FL 33919-5146 | 2006-05-20 |
| 1881681724 | Shady Rest Care Pavilion, Inc. | Skilled Nursing Facility | 2310 N Airport Rd, Fort Myers, FL 33907-1426 | 2005-10-05 |
| 1356345904 | Fi-winkler Court, LLC | Skilled Nursing Facility | 3250 Winkler Avenue Ext, Fort Myers, FL 33916-9414 | 2005-06-10 |
| 1164906558 | Page Operating LLC | Skilled Nursing Facility | 2310 N Airport Rd, Fort Myers, FL 33907-1426 | 2018-09-20 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC.
| 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.