NURSE PRACTITIONER ON THE GO (NPI# 1679125926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679125926 |
| Entity Type | Organization |
| Organization Name | NURSE PRACTITIONER ON THE GO |
| Practice Address |
16411 Oak Manor Drive Tampa FL 33624 |
| Mailing Address |
13014 N Dale Mabry Hwy Ste 186 Tampa FL 33618-2808 |
| Practice Telephone | 8134443201 |
| Practice Fax Number | 8134365294 |
| Mailing Telephone | 8134443201 |
| Mailing Fax Number | 8134365294 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | MS. JERILYN BOTWINIK (OWNER) |
| Authorized Official Telephone | 8134443201 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16411 Oakmanor Dr, Tampa, FL 336241234 | 8134443201 | 8134365294 |
| Street Address |
16411 OAK MANOR DRIVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617380 | Transforming Treasures LLC | Behavioral Analyst | 4810 Centerbrook Ct, Tampa, FL 33624 | 2020-07-30 |
| 1467097642 | Sherryl Lynn Johnson-hanna | Dietitian, Registered | 4904 Rambling Rose Place, Tampa, FL 33624 | 2019-11-12 |
| 1427547587 | Sylicia Marks | Counselor | 4105 Brentwood Park Cir, Tampa, FL 33624 | 2018-05-04 |
| 1407352917 | Shelley Von Hightower | Pharmacist | 5008 W. Linebaugh Ave, Suite 35, Tampa, FL 33624 | 2018-04-03 |
| 1972002178 | Zachary Winterberg | Specialist/Technologist | 3821 Northgreen Ave Apt 1407, Tampa, FL 33624 | 2018-02-03 |
| 1013423268 | Beyond Care Home Health LLC | Home Health | 3903 Northdale Bvld, 100e, Tampa, FL 33624 | 2017-12-26 |
| 1285148841 | Gary Donald Kociszewski Jr. | Behavior Technician | 4920 Traskwood Ct, Tampa, FL 33624 | 2017-11-18 |
| 1932611944 | Valerie Lauren Martinez | Behavior Technician | 14039 Wolcott Dr, Tampa, FL 33624 | 2017-10-31 |
| 1073038287 | Mesfin T Araya | Non-emergency Medical Transport (VAN) | 4403 Akita Dr, Tampa, FL 33624 | 2017-08-09 |
| 1730536806 | Matilde Alejandra Torallas Huerta | Marriage & Family Therapist | 3903 North Dale Blvd. Suite 100e, Tampa, FL 33624 | 2016-05-18 |
| Find all providers in zip 33624 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535265 | Azalea Home Care, LLC | In Home Supportive Care | 400 N Ashley Dr Ste 2653, Tampa, FL 33602-4300 | 2020-10-13 |
| 1619575701 | Top Knotch Care LLC | In Home Supportive Care | 5340 W Kennedy Blvd Unit 436, Tampa, FL 33609-2434 | 2020-10-12 |
| 1962011486 | Ebony Butler | In Home Supportive Care | 5132 Tennis Court Cir, Tampa, FL 33617-4718 | 2020-07-30 |
| 1033728787 | Home Connect Care LLC | In Home Supportive Care | 7001 Shenandoah Ct, Tampa, FL 33615-2960 | 2020-07-29 |
| 1942825351 | Flourish Home Health Care LLC | In Home Supportive Care | 12421 N Florida Ave Ste 229, Tampa, FL 33612-4278 | 2020-06-11 |
| 1023631710 | Corvea Senior Helpers LLC | In Home Supportive Care | 3251 Carlton Arms Dr Unit 11, Tampa, FL 33614-4184 | 2020-05-28 |
| 1306471057 | Heart To Homes Companion Care Services, LLC. | In Home Supportive Care | 18903 Pebble Links Cir Apt 306, Tampa, FL 33647-1893 | 2020-03-03 |
| 1598307746 | Tinika Washington | In Home Supportive Care | 9404 Forest Hills Dr, Tampa, FL 33612-7720 | 2019-10-09 |
| 1053953240 | Firstone Care Agency LLC | In Home Supportive Care | 5700 Memorial Hwy Ste 204, Tampa, FL 33615-5258 | 2019-10-09 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 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.