WANDA W. J. GOLDWIRE (NPI# 1770603482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770603482 |
| Entity Type | Individual |
| Full Name | WANDA W. J. GOLDWIRE |
| Practice Address |
207 Grace Ave Dundee FL 33838-0102 |
| Mailing Address |
Po Box 102 Dundee FL 33838-0102 |
| Practice Telephone | 8634392564 |
| Mailing Telephone | 8634392564 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 372600000X | Adult Companion | FL | Nursing Service Related Providers | |
| X | 376J00000X | Homemaker | FL | Nursing Service Related Providers | |
| X | 376K00000X | Nurse's Aide | FL | Nursing Service Related Providers |
| Street Address |
207 GRACE AVE |
| City | DUNDEE |
| State | FL |
| Zip Code | 33838-0102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789668 | Marecia Shafaye Jefferson-lias | Nurse Practitioner | 207 Grace Ave, Dundee, FL 33838-4565 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417712 | Deandra Mahon | Student in an Organized Health Care Education/Training Program | 1523 Vista Del Lago Blvd, Dundee, FL 33838 | 2020-05-01 |
| 1417499542 | Cathleen Chicoine | Nurse Practitioner | 28149 Us 27, Dundee, FL 33838 | 2016-11-07 |
| 1083086656 | Education & Empowerment, Inc. | Day Training, Developmentally Disabled Services | 622 Dundee Road, Dundee, FL 33838 | 2015-10-22 |
| 1689842247 | Kevin Dwayne Cunningham | Pharmacist | 243 Us Highway 27 S, Dundee, FL 33838 | 2008-02-18 |
| 1124192612 | Nicanor S Baguio Jr. | General Practice | 28055 Us Highway 27 South, Dundee Medical Walk In Clinic, Dundee, FL 33838 | 2006-11-17 |
| 1710074497 | Dundee Medical Walk-in Clinic | General Practice | 28055 Highway 27 South, Dundee, FL 33838 | 2006-10-06 |
| 1871514174 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 243 Us Hwy 27 South, Dundee, FL 33838 | 2006-07-21 |
| 1700821121 | Mondello Family Clinic Pa | Clinic/Center | 1023 Sr 542 W, Dundee, FL 33838 | 2006-06-19 |
| 1679058515 | Central Florida Health Care Inc | Clinic/Center | 916 Hwy 542, Dundee, FL 33838 | 2018-09-26 |
| 1093096596 | Ingrid Nahil Atiles | Psychologist | 1023 Dundee Rd, Dundee, FL 33838-3101 | 2011-08-29 |
| Find all providers in zip 33838 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192419 | Nyesha Isons | Adult Companion | 4835 48th St W Apt 513, Bradenton, FL 34210-2862 | 2020-10-24 |
| 1215536305 | Yolanda M Orr | Adult Companion | 1401 Marathon Key Dr Apt 103, Tampa, FL 33612-3650 | 2020-10-20 |
| 1871192187 | Yterria Mcgee | Adult Companion | 1202 N 29th St Apt 93, Fort Pierce, FL 34947-2230 | 2020-10-19 |
| 1316545544 | Hero Senior Care LLC | Adult Companion | 5231 Sw 152nd Ct, Miami, FL 33185-4110 | 2020-10-10 |
| 1821696089 | Audriana Clark | Adult Companion | 7333 Pine Forest Rd Lot 70, Pensacola, FL 32526-3910 | 2020-10-10 |
| 1154937969 | Lashonda Grice Velazquez | Adult Companion | 702 N 19th St, Palatka, FL 32177-3070 | 2020-09-17 |
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1447865639 | Yaimara Cruz | Adult Companion | 14400 Sw 79th Ct, Palmetto Bay, FL 33158-2019 | 2020-09-14 |
| 1275148082 | Latangela Shonta Vassel | Adult Companion | 1104 Bartow Rd Apt N163, Lakeland, FL 33801-5826 | 2020-09-09 |
| 1235743147 | Quanteria Mccaskill | Adult Companion | 116 Little Acres Dr, Palatka, FL 32177-4137 | 2020-09-08 |
| 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.