BARTON HOUSE OF BREVARD, INC. (NPI# 1801156716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801156716 |
Entity Type | Organization |
Organization Name | BARTON HOUSE OF BREVARD, INC. |
Practice Address |
571 Degroodt Rd Sw Palm Bay FL 32908-7420 |
Practice Telephone | 3213681064 |
Practice Fax Number | 3212169274 |
Mailing Telephone | 3213681064 |
Mailing Fax Number | 3212169274 |
Enumeration Date | 2012-05-24 |
Last Update Date | 2012-05-24 |
Authorized Official Name | MRS. LISA MARIE JEAN-PIERRE (OWNER/ADMINISTRATOR) |
Authorized Official Telephone | 3213681064 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 12190 | FL | Nursing & Custodial Care Facilities |
Street Address |
571 DEGROODT RD SW |
City | PALM BAY |
State | FL |
Zip Code | 32908-7420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043663537 | Milena Tellechea Casanueva | Registered Nurse | 761 Santo Domingo Ave Sw, Palm Bay, FL 32908 | 2016-07-19 |
1023351996 | Zion's Assisted Living Facility, Inc. | Assisted Living Facility | 2029 Jupiter Blvd Sw, Palm Bay, FL 32908 | 2013-03-29 |
1710267364 | Laurie Kay Bailey | Massage Therapist | 3098 Cambria Avenue, Palm Bay, FL 32908 | 2011-08-26 |
1689797946 | Fritz Delmont | Licensed Practical Nurse | 3056 Ferdon Ave, Palm Bay, FL 32908 | 2007-04-09 |
1801340732 | Trinity Non Emergency Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1590 La Maderia Dr Sw, Palm Bay, FL 32908-1100 | 2016-08-09 |
1326354606 | Merlyn Labrador | Marriage & Family Therapist | 1500 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-08-25 |
1245544303 | Matthew M Fisher | Massage Therapist | 1570 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-07-31 |
1780999284 | Colleen M Fisher | Massage Therapist | 1570 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-08-10 |
1922271220 | Marrilyn K Tennyson | Occupational Therapist | 1700 Las Palmos Dr Sw, Palm Bay, FL 32908-1122 | 2008-04-08 |
1528531076 | Al-quiyamah Ghafur Faiz | Counselor | 1606 Sawgrass Dr Sw, Palm Bay, FL 32908-1126 | 2019-01-08 |
Find all providers in zip 32908 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
1003423294 | Rome's Paradise Assisted Living II | Assisted Living Facility | 564 Delmonico St Ne, Palm Bay, FL 32907-3129 | 2020-09-30 |
1447881297 | Shangri-la of Palm Bay Alf, LLC | Assisted Living Facility | 3604 Jupiter Blvd. Se, Palm Bay, FL 32909 | 2020-01-30 |
1871136127 | Lucienne Cajuste Delva | Assisted Living Facility | 1246 Harlingen Rd Sw, Palm Bay, FL 32908-7146 | 2019-10-18 |
1811483290 | Welcome Home Assisted Living Facility LLC | Assisted Living Facility | 1387 San Cortez Ave Ne, Palm Bay, FL 32907-1118 | 2018-07-09 |
1851883706 | Tara Demetria Johnson | Assisted Living Facility | 226 Abalone Rd Nw, Palm Bay, FL 32907-2964 | 2018-06-05 |
1437640653 | Hannah's Home LLC | Assisted Living Facility | 997 Lyons Cir Nw, Palm Bay, FL 32907-5911 | 2018-05-23 |
1447756655 | Glenville Pines II Assisted Living Facility LLC | Assisted Living Facility | 211 Silver Oak Rd Ne, Palm Bay, FL 32907-5582 | 2018-04-05 |
1982107678 | Serenity Lifestyle Plus | Assisted Living Facility | 178 Evergreen St Ne, Palm Bay, FL 32907-1905 | 2018-03-09 |
1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
Find all providers in PALM BAY |
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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.