MARION BLAIN (NPI# 1821262296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821262296 |
| Entity Type | Individual |
| Full Name | MARION BLAIN |
| Practice Address |
6642 Forestwood Dr W Lakeland FL 33811-2414 |
| Practice Telephone | 8636441560 |
| Mailing Telephone | 8636441560 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2010-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 230311600 | 05 |
| Street Address |
6642 FORESTWOOD DR W |
| City | LAKELAND |
| State | FL |
| Zip Code | 33811-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093989469 | Bruce Blain | Foster Care Agency | 6642 Forestwood Dr W, Lakeland, FL 33811-2414 | 2008-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1760991012 | Gregory Clark | Driver | 1091 Old South Dr, Lakeland, FL 33811 | 2017-09-28 |
| 1356870703 | Jeanette Michelle Edmonds | Psychologist | 4231 S. Pipkin Rd., Building 2 - Mental Health/behavioral Sciences, Lakeland, FL 33811 | 2017-06-08 |
| 1932353406 | Monique L Lisowski | Dietitian, Registered | 4231 South Pipkin Road, Lakeland, FL 33811 | 2008-11-11 |
| 1306987029 | Lifesavers Home Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 2525 Drane Field Rd, Suite 14, Lakeland, FL 33811 | 2007-02-08 |
| 1518010305 | Kirk Randall Smith | Nurse Practitioner | 1475 Airport Road, Lakeland, FL 33811 | 2007-01-18 |
| 1578568176 | Southeastern Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3615 Century Blvd, Unit #1, Lakeland, FL 33811 | 2005-06-20 |
| 1225279318 | Affordable Transport Inc. | Non-emergency Medical Transport (VAN) | 3706 Dmg Dr, Lakeland, FL 33811-1043 | 2009-03-18 |
| 1457747875 | Candace Borders | Physical Therapy Assistant | 3225 Thoroughbred Loop N, Lakeland, FL 33811-1078 | 2015-04-13 |
| 1962849729 | Angelica Monteverde | Counselor | 3121 Filly Ln, Lakeland, FL 33811-1080 | 2013-06-03 |
| Find all providers in zip 33811 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093989469 | Bruce Blain | Foster Care Agency | 6642 Forestwood Dr W, Lakeland, FL 33811-2414 | 2008-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609734 | Ensor Health Services | Foster Care Agency | 12140 Murray Ave, Largo, FL 33778-2421 | 2020-11-06 |
| 1821600941 | Manny Anthony & Co. LLC | Foster Care Agency | 4514 Wishart Blvd, Tampa, FL 33603-2827 | 2020-08-19 |
| 1245849819 | Seven Bridges Support Services LLC | Foster Care Agency | 1652 Fairway Ridge Dr, Fleming Island, FL 32003-8253 | 2020-07-29 |
| 1750901997 | Kenithia Z Brewington | Foster Care Agency | 121 Millet Cir, Cantonment, FL 32533-7888 | 2020-04-17 |
| 1568097038 | A Kid's Place of Tampa Bay Inc. | Foster Care Agency | 1715 Lithia Pinecrest Rd, Brandon, FL 33511-6723 | 2020-03-05 |
| 1215560305 | Florida United Methodist Childrens Home, Inc. | Foster Care Agency | 591 Jacob Brock Ave, Enterprise, FL 32725-8129 | 2020-02-17 |
| 1609409101 | Florida United Methodist Childrens Home, Inc. | Foster Care Agency | 202 W Reynolds St, Plant City, FL 33563-3200 | 2020-02-13 |
| 1851938096 | Karl Fleming | Foster Care Agency | 6020 Wallace Rd, Panama City, FL 32404-8724 | 2019-12-06 |
| 1962051441 | Christie Homes, Inc | Foster Care Agency | 2450 E Hillsborough Ave Apt 1324, Tampa, FL 33610-4443 | 2019-09-08 |
| 1598221533 | Kacy Thompson | Foster Care Agency | 9639 Bembridge Mill Dr, Jacksonville, FL 32244-2495 | 2019-02-14 |
| 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.