PRIORITY LIFE SERVICES, CORP (NPI# 1699802207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699802207 |
| Entity Type | Organization |
| Organization Name | PRIORITY LIFE SERVICES, CORP |
| Practice Address |
707 S 19th Ave Apt 6 Hollywood FL 33020-5400 |
| Practice Telephone | 9549218062 |
| Practice Fax Number | 9549292994 |
| Mailing Telephone | 9549218062 |
| Mailing Fax Number | 9549292994 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUSANA ISABEL BIONDINI (PRESIDENT) |
| Authorized Official Telephone | 3053037169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 310500000X | Intermediate Care Facility, Mental Illness | 229831 | FL | Nursing & Custodial Care Facilities |
| X | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
229831 | FL | Respite Care Facility |
| X | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
229831 | FL | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HOME MAKER AND COMPANION | 229831 | 01 |
| Street Address |
707 S 19TH AVE APT 6 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420854 | Sunrise Community, Inc. | Intermediate Care Facility, Mental Illness | 817 W Wheeler Rd, Brandon, FL 33510-2140 | 2020-06-05 |
| 1174050371 | Andre Morris | Intermediate Care Facility, Mental Illness | 338 Daniels Pointe Dr, Winter Garden, FL 34787-4347 | 2017-05-18 |
| 1184920605 | Carine Robert | Intermediate Care Facility, Mental Illness | 11999 Nw 13th St, Pembroke Pines, FL 33026-3878 | 2011-01-31 |
| 1710162466 | Natalie and Erik Tiltins | Intermediate Care Facility, Mental Illness | 17919 Hwy. 231, Fountain, FL 32438 | 2007-12-31 |
| 1417137225 | Natalie and Erik Tiltins | Intermediate Care Facility, Mental Illness | 17919 Highway 231, Fountain, FL 32438-0500 | 2007-11-08 |
| 1942489265 | Sunshine Acres Assisted Living Facility, Inc. | Intermediate Care Facility, Mental Illness | 2563 River Rd, Caryville, FL 32427-2013 | 2007-11-02 |
| 1578600094 | Hll of Miami Corp | Intermediate Care Facility, Mental Illness | 9441 Sw 27th Dr, Miami, FL 33165-3103 | 2007-01-31 |
| 1366598484 | National Mentor Healthcare Network | Intermediate Care Facility, Mental Illness | 5808 Kinkaid Rd, Jacksonville, FL 32244-1034 | 2007-01-25 |
| 1568461671 | Panama City Developmental Center | Intermediate Care Facility, Mental Illness | 1407 Lincoln Dr, Panama City, FL 32401-2870 | 2005-07-20 |
| 1609875160 | Tallahassee Developmental Center | Intermediate Care Facility, Mental Illness | 455 Appleyard Dr, Tallahassee, FL 32304-2808 | 2005-07-18 |
| Find all providers with the same taxonomy | ||||
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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.