DESIGN WOODS PEACE TRUST


Address: 209 Runyon Vlg Apt B, Belle Glade, FL 33430-6038
Phone: 6013426103

DESIGN WOODS PEACE TRUST (NPI# 1750746616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750746616
Entity Type Organization
Organization Name DESIGN WOODS PEACE TRUST
Practice Address 209 Runyon Vlg Apt B
Belle Glade
FL 33430-6038
Practice Telephone 6013426103
Practice Fax Number 8668052769
Enumeration Date 2015-12-20
Last Update Date 2015-12-20
Authorized Official Name ANDRAYQ MCWILLIAMS (OWNER)
Authorized Official Telephone 6013426103
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320700000X Residential Treatment Facility, Physical Disabilities Residential Treatment Facilities
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
276267 FL Nursing & Custodial Care Facilities

Office Location

Street Address 209 RUNYON VLG APT B
City BELLE GLADE
State FL
Zip Code 33430-6038

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1831481480 Maria E Pearson Registered Nurse 5701 Shingle Creek Parkway, Suite 200, Minneapolis, MN 33430 2011-05-13
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1598824435 Florida Rehabilitation Services Physical Therapist 1100 S Main Street, Suite 13, Belle Glade, FL 33430 2006-12-06
1508951922 National Medical Care, Inc. Clinic/Center 933 S.e. 1st Street, Belle Glade, FL 33430 2006-10-03
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1699756312 Rahat Abbas Internal Medicine 349 Nw 16th St, Suite 104, Belle Glade, FL 33430 2005-11-09
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

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1689280083 Wendy Del Rosario Toledo Machado Custodial Care Facility 7101 Green St, New Port Richey, FL 34652-1630 2020-09-21
1568077469 Titilayo M Dipe Custodial Care Facility 11215 Gold Compass St, Gibsonton, FL 33534-5698 2020-09-09
1124630892 Moselene Belizaire Custodial Care Facility 3411 9th St W, Lehigh Acres, FL 33971-5357 2020-08-23
1396354395 Unique Adult Family Care Home Inc. Custodial Care Facility 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 2020-07-24
1790301687 Nancy Isidor Custodial Care Facility 1728 Burnham Ct, Clermont, FL 34714-8048 2020-06-17
1326662206 Yuwaret Haines Custodial Care Facility 13566 Rudi Loop, Spring Hill, FL 34609-7964 2020-06-05
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Competitor

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City BELLE GLADE
Zip Code 33430

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Dataset Information

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.

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