ANGELS WINGS SYNERGY RETREAT (NPI# 1851779219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851779219 |
| Entity Type | Organization |
| Organization Name | ANGELS WINGS SYNERGY RETREAT |
| Other Organization Name | ANGELS WINGS SYNERGY RETREAT |
| Practice Address |
1920 N 44th St Fort Pierce FL 34947-1607 |
| Practice Telephone | 5594678888 |
| Mailing Telephone | 5594678888 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | MRS. RENEE MICHELLE GORDON (OWNER ADMINISTRATOR) |
| Authorized Official Telephone | 5594678888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | FL | Nursing & Custodial Care Facilities | |
| N | 315D00000X | Hospice, Inpatient | FL | Nursing & Custodial Care Facilities | |
| N | 385H00000X | Respite Care | FL | Respite Care Facility | |
| Y | 311Z00000X | Custodial Care Facility | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| angels wings synergy retreat | Doing Business As Name - Organization |
| Street Address |
1920 N 44TH ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34947-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| 1811391345 | Shaikh International Medicine, LLC | Internal Medicine | 2504 Acorn St, Suite A, Ft Pierce, FL 34947 | 2014-10-13 |
| 1851728083 | Home Sweet Home of The Treasurwe Coast, Inc. | Assisted Living Facility | 3201 Avenue Q, Fort Pierce, FL 34947 | 2013-10-02 |
| 1831488469 | Gayle Freeman Jones | In Home Supportive Care | 3414 Sloan Rd, Fort Pierce, FL 34947 | 2011-04-05 |
| 1134370927 | Chelsea Lauren Pepera | Licensed Practical Nurse | 1816 South 31st Street, Fort Pierce, FL 34947 | 2008-10-10 |
| 1790971364 | Orion Cardiovascular, IIi | Clinic/Center | 1803 S 25th Street, Ste 1, Ft. Pierce, FL 34947 | 2007-09-18 |
| 1659441236 | Diagnostic Radiology Center of The Treasure Coast | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1689786774 | Ajay Kumar Goyal | Radiology | 2011 S 25th St, Suite 106, Fort Pierce, FL 34947 | 2006-08-31 |
| 1649340258 | Ajay K Goyal Md Pa | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| Find all providers in zip 34947 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241804 | Assisted Living of Florida, Limited, Inc. | Custodial Care Facility | 10860 118th St, Seminole, FL 33778-3625 | 2020-06-29 |
| 1952936841 | Tequesta Dukes | Custodial Care Facility | 1713 W Marshall Lake Dr, Apopka, FL 32703-1622 | 2020-03-11 |
| 1881254712 | Claudette Paul | Custodial Care Facility | 4103 Day Bridge Pl, Ellenton, FL 34222-7236 | 2019-06-13 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1598204786 | Samantha Lamadieu | Custodial Care Facility | 709 S 51st St, Tampa, FL 33619-3703 | 2017-02-21 |
| 1578013033 | Aj Care Inc | Custodial Care Facility | 11990 Mellow Ct, West Palm Beach, FL 33411-9127 | 2016-10-09 |
| 1508225053 | Mccall Service, Inc. | Custodial Care Facility | 415 Nw 250th St, Suite 1, Newberry, FL 32669-4473 | 2016-02-12 |
| 1043679590 | Mccall Service, Inc. | Custodial Care Facility | 10211 E Columbus Dr, Tampa, FL 33619-7853 | 2016-02-12 |
| 1780043232 | Mccall Service, Inc. | Custodial Care Facility | 410 E Paul Russell Rd, Tallahassee, FL 32301-6960 | 2016-02-12 |
| 1588022909 | Brendlyn Assisted Living LLC | Custodial Care Facility | 81 Buttonworth Dr, Palm Coast, FL 32137-3507 | 2016-01-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT PIERCE |
| Zip Code | 34947 |
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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.