EMILIA'S DIRECT CARE AGENCY (NPI# 1710404249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710404249 |
| Entity Type | Organization |
| Organization Name | EMILIA'S DIRECT CARE AGENCY |
| Practice Address |
3218 E Colonial Dr Rm 118 Orlando FL 32803 |
| Mailing Address |
3218 E Colonial Dr Rm 118 Orlando FL 32803-5179 |
| Practice Telephone | 4077796708 |
| Mailing Telephone | 4077796708 |
| Mailing Fax Number | 4076052753 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | JULIE TIBAUD (OWNER) |
| Authorized Official Telephone | 4077796708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | FL | Agencies | |
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020485500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3700 Curry Ford Road B8, Orlando, FL 328063280 | (407) 779-6708 |
| Street Address |
3218 E COLONIAL DR RM 118 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| 1285094177 | Cornelia Iucha | Psychologist | 2501 Raymond Street Orlando Va Medical Center, Lake Baldwin Opc Mental Health, Room 422, Orlando, FL 32803 | 2016-03-04 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707415 | Active Dl Services Inc. | Clinic/Center | 1830 Bel Air Ave, Orlando, FL 32812-8709 | 2020-07-09 |
| 1912523879 | Your Light Residential Care LLC | Clinic/Center | 2640 Albion Ave, Orlando, FL 32833-4342 | 2020-06-17 |
| 1477174225 | Meghan Mullany | Clinic/Center | 14815 Faberge Dr, Orlando, FL 32828-5119 | 2020-05-04 |
| 1447884457 | Immaculate Homecare Corp | Clinic/Center | 2204 Ashland Blvd, Orlando, FL 32808-4906 | 2020-02-28 |
| 1770116410 | Daphene Saintil | Clinic/Center | 5273 Millenia Blvd Apt 202, Orlando, FL 32839-3408 | 2020-02-21 |
| 1225671514 | Annette I Vigeant | Clinic/Center | 19668 Mardi Gras St, Orlando, FL 32833-3720 | 2019-10-20 |
| 1225689284 | Marie Mickaelle Auguste | Clinic/Center | 1421 Magellan Cir, Orlando, FL 32818-6733 | 2019-09-21 |
| 1639737760 | Amanda Garcia Ruiz | Clinic/Center | 14127 Sanctuary Terrace Ln, Orlando, FL 32832-6643 | 2019-06-04 |
| 1053976126 | Achille Family Nursing Care LLC | Clinic/Center | 12632 Boggy Pointe Dr, Orlando, FL 32824-4881 | 2019-05-04 |
| 1205499787 | K Brown Med-waiver Services Inc | Clinic/Center | 3250 Mahalia Pl, Orlando, FL 32805-2918 | 2019-04-19 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on EMILIA'S DIRECT CARE AGENCY.
| 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.