FLORIDA KIDS PPEC, LLC (NPI# 1780242982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780242982 |
| Entity Type | Organization |
| Organization Name | FLORIDA KIDS PPEC, LLC |
| Practice Address |
5 E. Lane Dr. Units A/b Mary Esther FL 32569 |
| Mailing Address |
205 Harrison Pl Panama City FL 32405-4470 |
| Practice Telephone | 8502268331 |
| Mailing Telephone | 8509605045 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | MOHAMED M ABDELLI (ADMINISTRATOR) |
| Authorized Official Telephone | 8509605045 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
Nursing & Custodial Care Facilities |
| Street Address |
5 E. LANE DR. UNITS A/B |
| City | MARY ESTHER |
| State | FL |
| Zip Code | 32569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132252 | Myra Jean Luna | Behavior Technician | 140 Cristobal Road N, Suite 501, Mary Esther, FL 32569 | 2020-07-24 |
| 1730604695 | Camille Martinez | Behavior Technician | 116 Fourth St Se Unit #c, Fort Walton Beach, FL 32569 | 2017-08-11 |
| 1265846000 | Stillwaters Counseling, LLC | Counselor | 425 East Hollywood Boulevard, Building C, Suite #c5, Mary Esther, FL 32569 | 2014-06-19 |
| 1649562729 | Elizabeth Ann Hutchinson | Nurse Practitioner | 151 Mary Esther Blvd # 301, Mary Esther, FL 32569 | 2011-05-09 |
| 1215237789 | Nekita Antionette Robinson | Licensed Practical Nurse | 24 Solar Street, Mary Esther, FL 32569 | 2010-10-29 |
| 1538395587 | Angela Marie Meadows | Nurse Practitioner | 151 Mary Esther Blvd Ste 403a, Mary Esther, FL 32569 | 2009-06-04 |
| 1891939831 | Tamara Fought Bertrand | Massage Therapist | 151 Mary Ester Blvd, Suite 309b, Apo, AP 32569 | 2009-04-21 |
| 1083705651 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 300 Mary Esther Cutoff, Mary Esther, FL 32569 | 2006-09-27 |
| 1467823922 | Ashley Rydzewski Hall | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569 | 2015-10-09 |
| 1790929917 | Panhandle Hearing Centers, Inc. | Hearing Instrument Specialist | 300 Mary Esther Blvd, Sears Miracle Ear - Santa Rosa Mall, Mary Esther, FL 32569 | 2009-05-01 |
| Find all providers in zip 32569 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776671 | My Extended Family Home Care | Skilled Nursing Facility | 4766 Golden Gate Pkwy Ste 4, Naples, FL 34116-6935 | 2020-07-04 |
| 1538786173 | Magical Dreams Academy LLC | Skilled Nursing Facility | 966 Sw 82nd Ave, Miami, FL 33144-4271 | 2020-06-30 |
| 1427685692 | Fkppec1, Inc. | Skilled Nursing Facility | 5547 W Oakland Park Blvd, Lauderhill, FL 33313-1411 | 2020-03-26 |
| 1649807215 | Fkppec2, Inc. | Skilled Nursing Facility | 6515 Taft St, Hollywood, FL 33024-4008 | 2020-03-24 |
| 1285261867 | Fkppec3, Inc. | Skilled Nursing Facility | 8681 Coral Way, Miami, FL 33155-2337 | 2020-03-24 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1336794387 | South Florida Ppec Services, LLC | Skilled Nursing Facility | 15383 Nw 7th Ave Ste B, Miami, FL 33169-6205 | 2019-08-06 |
| 1710549019 | Caring Hearts Nursing Services LLC | Skilled Nursing Facility | 5700 Lake Worth Rd Ste 209-4, Greenacres, FL 33463-3270 | 2019-07-08 |
| 1871054254 | Happy Kids Ppec Foundation | Skilled Nursing Facility | 4756 Nw 167th St, Miami Lakes, FL 33014-6427 | 2019-03-27 |
| 1467926022 | Respiratory Care Providers, Incorporated | Skilled Nursing Facility | 2401 Frist Blvd Ste 9, Fort Pierce, FL 34950-4844 | 2019-01-17 |
| Find all providers with the same taxonomy | ||||
| City | MARY ESTHER |
| Zip Code | 32569 |
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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.