DEBORAH HODGE (NPI# 1790108405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790108405 |
| Entity Type | Individual |
| Full Name | DEBORAH HODGE |
| Practice Address |
4001 Kaluga Park St Orlando FL 32808-7473 |
| Practice Telephone | 4079826629 |
| Mailing Telephone | 4079826629 |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 7G331A/C | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDWAIVER | 684197096 | 01 |
| FL | MEDWAIVER | 6841970001 | 01 |
| FL | MEDWAIVER | 684197098 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013346006 | Deborah Alis Hodge | Pharmacist | 2579 Chimney Rock Rd, Hendersonville, NC 28792-9181 | 2013-11-11 |
| 1821172990 | Deborah Ann Hodge | Nurse Practitioner | 16001 Park Ten Pl, Ste 300, Houston, TX 77084-7885 | 2006-10-25 |
| Street Address |
4001 KALUGA PARK ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32808-7473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477922417 | Hodge's Group Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4001 Kaluga Park St, Orlando, FL 32808-7473 | 2015-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1811522691 | Lorraine Viviene Bromfield Alleyne | In Home Supportive Care | 3536 Pine Ridge Court, Orlando, FL 32808 | 2020-03-11 |
| 1750913760 | 2 God B Thy Glory 4 Healing Angels | Respite Care | 5553 #1 Springhill Dr, Orlando, FL 32808 | 2020-02-07 |
| 1720620537 | Tamara Jefferson | Occupational Therapist | 5164 Clarion Oaks Drive, Orlando, FL 32808 | 2019-10-14 |
| 1750851341 | Gladys Joseph | Nurse's Aide | 805 Terry Lynn Drive, Orlando, FL 32808 | 2018-11-27 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1407342322 | Camha P Nguyen | Dentist | 2619 Greenfield Ave, Orlando, FL 32808 | 2018-07-03 |
| 1568964039 | Keep A Kid On Track | Counselor | 623 Pine Hill Road, Orlando, FL 32808 | 2018-03-01 |
| 1629507074 | Janelle Manning | Nurse's Aide | 5030 Rosamond Drive, Apt 2712, Orlando, FL 32808 | 2017-06-08 |
| 1770018137 | Andrew Owen | Chiropractor | 822 Mercy Dr, Orlando, FL 32808 | 2017-04-24 |
| Find all providers in zip 32808 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760952188 | Meikel Lazaro Lorenzo Medina | Contractor | 6233 Lakeville Rd, Orlando, FL 32818-8812 | 2018-11-28 |
| 1508300955 | Enid De Leon | Contractor | 4642 Wydham Ln, Orlando, FL 32812-8068 | 2016-12-05 |
| 1861941569 | Arisea Miller | Contractor | 5317 Pale Horse Dr, Orlando, FL 32818-8319 | 2016-09-23 |
| 1215310693 | Jonathan Martin | Contractor | 6441 S Chickasaw Trl # 134, Orlando, FL 32829-8366 | 2015-07-03 |
| 1588051189 | Ifeanyi Ejiego | Contractor | 9712 S Orange Ave, Orlando, FL 32824-7211 | 2015-04-21 |
| 1700277027 | Donna Goff | Contractor | 8425 Alveron Ave, Orlando, FL 32817-2407 | 2015-02-09 |
| 1538564919 | Genevieve Vincent | Contractor | 11437 Zodiac Dr, Orlando, FL 32837-9019 | 2014-10-28 |
| 1598185746 | Pauline Mediko Badiki | Contractor | 1900 Jake St, Units, Orlando, FL 32814-5915 | 2014-04-25 |
| 1083030183 | Ashley Walch | Contractor | 211 Malta Rd, Orlando, FL 32828-9703 | 2014-03-13 |
| 1467875658 | Rhonda Marcia Goodall | Contractor | 7575 Kingspointe Pkwy, Suite 21, Orlando, FL 32819-8517 | 2014-01-24 |
| Find all providers in ORLANDO | ||||
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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.