SWAN S.P. ENTERPRISES (NPI# 1710381736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710381736 |
| Entity Type | Organization |
| Organization Name | SWAN S.P. ENTERPRISES |
| Other Organization Name | PROMISE MANOR WELLCARE |
| Practice Address |
45 W 17th St Riviera Beach FL 33404-6121 |
| Practice Telephone | 5618637481 |
| Practice Fax Number | 5618637396 |
| Mailing Telephone | 5618637481 |
| Mailing Fax Number | 5618637396 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | SANDRA M CAMERON (ADMINISTRATOR) |
| Authorized Official Telephone | 5618637481 |
| Is Organization Subpart | Y |
| Parent Organization Name | SWAN S P ENTERPRISES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| PROMISE MANOR WELLCARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942605548 | Swan S.p. Enterprises | Community/Behavioral Health | 45 W 17th St, Riviera Beach, FL 33404-6121 | 2014-10-27 |
| Street Address |
45 W 17TH ST |
| City | RIVIERA BEACH |
| State | FL |
| Zip Code | 33404-6121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295233062 | Urp Detox, LLC | Substance Abuse Rehabilitation Facility | 45 W 17th St, Riviera Beach, FL 33404 | 2018-01-26 |
| 1942605548 | Swan S.p. Enterprises | Community/Behavioral Health | 45 W 17th St, Riviera Beach, FL 33404-6121 | 2014-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050393 | Sarina Tsien Chun Ken | Nurse Practitioner | 1102 Centerstone Lane, West Palm Beach, FL 33404 | 2020-10-13 |
| 1417509613 | Amber Tamara Seaman | Social Worker | 2001 Bue Herron Drive, Riviera Beach, FL 33404 | 2019-07-09 |
| 1407419252 | Tiara Priester | Nurse's Aide | 1625 West 26th Street Riviera Beach,fl, Riviera Beach, FL 33404 | 2019-04-17 |
| 1598274110 | Yolanda Victoria Mckinney-foy | Counselor | 2910 Avenue F, Riviera Beach, FL 33404 | 2017-09-26 |
| 1356867626 | Lynette Patrice Copeland | Speech-Language Pathologist | 1901 Avenue S, 1901 Avenue S, Rivera Beach, FL 33404 | 2017-08-18 |
| 1205359320 | Community Development and Empowerment Group, Inc. | Registered Nurse | 3148 Laurel Ridge Circle, Riviera Beach, FL 33404 | 2017-07-20 |
| 1407387327 | Chelsea Flint | Counselor | 2201 Blue Heron Blvd. W., Riviera Beach, FL 33404 | 2017-03-22 |
| 1841736923 | Tangeria Mckinney | Clinic/Center | 1992 West 16th Court Apt D, Riviera Beach, FL 33404 | 2017-01-12 |
| 1942742994 | Ambrosia Treatment Center | Substance Abuse Rehabilitation Facility | 2675 Lake Drive, Singer Island, FL 33404 | 2016-11-08 |
| 1225499874 | Rhesa Riley | Marriage & Family Therapist | 2001 Blue Heron Blvd W., Riviera Beach, FL 33404 | 2016-03-10 |
| Find all providers in zip 33404 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609272913 | Memories Adult Day Care Center, LLC. | Assisted Living Facility | 124 W 13th St, Riviera Beach, FL 33404-6844 | 2014-11-13 |
| 1801206222 | La Maison Lamier Inc. | Assisted Living Facility | 127 W Blue Heron Blvd, Riviera Beach, FL 33404-4428 | 2014-05-07 |
| 1417290636 | Moore Care Assisted Living Facility | Assisted Living Facility | 1291 W 32nd St, Riviera Beach, FL 33404-3559 | 2013-04-05 |
| 1487986352 | Palms Edge Assisted Living Facility | Assisted Living Facility | 4201 Leo Ln, Riviera Beach, FL 33410-6405 | 2010-02-03 |
| 1144499583 | Rowena Mills Enterprise | Assisted Living Facility | 701 W 9th St, Riviera Beach, FL 33404-7342 | 2008-02-28 |
| 1508918913 | Esther H Hart Assisted Living Facilities Inc | Assisted Living Facility | 131 W Blue Heron Blvd, Riviera Beach, FL 33404-4428 | 2007-01-17 |
| 1003422288 | Dorrett Scott | Assisted Living Facility | 124 W 13th St, Riviera Beach, FL 33404-6844 | 2020-09-22 |
| 1629582440 | Four Hearts | Assisted Living Facility | 462 W 14th St, Riviera Beach, FL 33404 | 2017-12-01 |
| 1053704965 | Florida Care Assisted Living Inc | Assisted Living Facility | 701 W 9th St, Riviera Beach, FL 33404-7342 | 2015-03-17 |
| 1861726820 | Janet L Wise | Assisted Living Facility | 120 W 22nd St, Riviera Beach, FL 33404-5512 | 2009-09-23 |
| Find all providers in RIVIERA BEACH | ||||
| City | RIVIERA BEACH |
| Zip Code | 33404 |
Please comment or provide details below to improve the information on SWAN S.P. ENTERPRISES.
| 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.