MARIE MODE ATILUS (NPI# 1851801013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851801013 |
| Entity Type | Individual |
| Full Name | MARIE MODE ATILUS |
| Practice Address |
10650 W State Road 84 Ste 206 Davie FL 33324-4235 |
| Mailing Address |
1460 Nw 20th St Fort Lauderdale FL 33311-3524 |
| Practice Telephone | 9546343636 |
| Practice Fax Number | 9546343637 |
| Mailing Telephone | 9548644602 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022152400 | 05 |
| Street Address |
10650 W STATE ROAD 84 STE 206 |
| City | DAVIE |
| State | FL |
| Zip Code | 33324-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063716538 | Lourdes Menoscal | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2010-12-27 |
| 1508409756 | Claudia Rubio Bautista | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-10-21 |
| 1174084594 | Gilma Tapia | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-03-28 |
| 1548725633 | Tomasa Valdes Castro | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-02-04 |
| 1205344983 | Madilyn Gonzalez | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324 | 2018-01-17 |
| 1922516632 | Yanick Maxena Reneau | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2018-01-16 |
| 1942718663 | Marlene Dugue Valcin | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2018-01-16 |
| 1649780750 | Caridad Rosado Mendez | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-10-03 |
| 1932626900 | Norma Caseres | Technician | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-08-29 |
| 1689191660 | Mercedes Y Medina | Technician | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063716538 | Lourdes Menoscal | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2010-12-27 |
| 1508409756 | Claudia Rubio Bautista | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-10-21 |
| 1174084594 | Gilma Tapia | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-03-28 |
| 1548725633 | Tomasa Valdes Castro | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-02-04 |
| 1205344983 | Madilyn Gonzalez | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324 | 2018-01-17 |
| 1922516632 | Yanick Maxena Reneau | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2018-01-16 |
| 1942718663 | Marlene Dugue Valcin | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2018-01-16 |
| 1649780750 | Caridad Rosado Mendez | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-10-03 |
| 1225547300 | Dania Barbara Lambert | In Home Supportive Care | 10650 W State Road 84, Davie, FL 33324-4235 | 2017-09-21 |
| 1669742086 | Medvu Seniors Center LLC | In Home Supportive Care | 4251 Sw 82nd Way, Davie, FL 33328-2979 | 2012-01-02 |
| Find all providers in DAVIE | ||||
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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.