HOPEWELL NURSE REGISTRY REGION 1, LLC (NPI# 1720414998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720414998 |
| Entity Type | Organization |
| Organization Name | HOPEWELL NURSE REGISTRY REGION 1, LLC |
| Practice Address |
4476 Legendary Dr Suite 204 Destin FL 32541-5375 |
| Mailing Address |
2121 Killarney Way Ste H Tallahassee FL 32309-3400 |
| Practice Telephone | 8508371870 |
| Practice Fax Number | 8508371868 |
| Mailing Telephone | 8503865552 |
| Mailing Fax Number | 8503865505 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | MR. BLAKE HAYWARD (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8503865552 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOPEWELL HOME HEALTH CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 30211613 | FL | Agencies |
| Street Address |
4476 LEGENDARY DR SUITE 204 |
| City | DESTIN |
| State | FL |
| Zip Code | 32541-5375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831553403 | Motion Is Life Chiropractic | Chiropractor | 4476 Legendary Dr, Suite 202, Destin, FL 32541-5375 | 2016-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
| 1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
| 1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
| 1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
| 1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
| 1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
| 1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
| 1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
| 1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
| 1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
| Find all providers in zip 32541 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376893891 | Express Pensacola Hha, Inc. | Home Health | 910 Airport Rd, Suite A1, Destin, FL 32541-2805 | 2012-09-12 |
| 1154579662 | Arc Therapy Services LLC | Home Health | 4012 Commons Drive, Suite 224-c, Destin, FL 32541-8422 | 2008-09-09 |
| 1891095261 | Plan B -adult Care Solutions, LLC | Home Health | 12671 Us Highway 98 W, Suite 204, Destin, FL 32550-8300 | 2010-11-01 |
| 1447427547 | Amedisys Florida, L.L.C. | Home Health | 1008 Airport Rd, Suite C, Destin, FL 32541-2823 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649252 | The Bla Conglomeration LLC | Home Health | 560 Village Blvd Ste 120, West Palm Beach, FL 33409-1963 | 2020-11-06 |
| 1003417932 | Allcare Home Health LLC | Home Health | 2200 N Commerce Pkwy Ste 255, Weston, FL 33326-3258 | 2020-11-06 |
| 1396346383 | Happy At Home Healthcare, Inc. | Home Health | 1104 S Powerline Rd Ste 8, Pompano Beach, FL 33069-4310 | 2020-11-05 |
| 1740881986 | Healing Hands Home Health | Home Health | 6611 Us Highway 19 Ste 204, New Port Richey, FL 34652-1732 | 2020-11-04 |
| 1215538848 | Tender Care Med Group Corp | Home Health | 373 E 1st Ave, Hialeah, FL 33010-4807 | 2020-11-02 |
| 1447850185 | Latoya Butler | Home Health | 5710 Lenox Ave Apt 121, Jacksonville, FL 32205-6383 | 2020-10-30 |
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1588264519 | Kendra Renea Chambers | Home Health | 78 Sims Rd, Quincy, FL 32352-6431 | 2020-10-28 |
| 1366041899 | Tri-city Adult Day Care, Inc. | Home Health | 827 Vanderbilt Dr, Eustis, FL 32726-5251 | 2020-10-26 |
| 1841899333 | All In Homecare LLC | Home Health | 150 3rd St Sw Ste 205, Winter Haven, FL 33880-2907 | 2020-10-26 |
| 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.