FLORIDA HOSPITAL WATERMAN INC (NPI# 1851940035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851940035 |
| Entity Type | Organization |
| Organization Name | FLORIDA HOSPITAL WATERMAN INC |
| Practice Address |
1000 Waterman Way Tavares FL 32778-5266 |
| Practice Telephone | 3522533333 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | TERRI WARREN (CFO) |
| Authorized Official Telephone | 3522533153 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA HOSPITAL WATERMAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| AdventHealth Waterman | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023045853 | Florida Hospital Waterman Inc | Home Health | 3260 Waterman Way, Tavares, FL 32778-5243 | 2006-06-27 |
| 1891722641 | Florida Hospital Waterman Inc | Non-emergency Medical Transport (VAN) | 2250 Huffstetler Dr, Tavares, FL 32778-5264 | 2006-06-27 |
| 1831131200 | Florida Hospital Waterman Inc | Home Health | 3270 Waterman Way, Tavares, FL 32778-5243 | 2006-06-12 |
| 1821019571 | Florida Hospital Waterman Inc | General Acute Care Hospital | 1000 Waterman Way, Tavares, FL 32778-5266 | 2006-07-21 |
| Street Address |
1000 WATERMAN WAY |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841044 | David G Koo | Family Medicine | 1000 Waterman Way, Tavares, FL 32778 | 2005-06-18 |
| 1982227591 | Mariel Battung Delos Santos | Physical Therapist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-05-19 |
| 1134748791 | Grace Dirani | Physical Therapy Assistant | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-04-14 |
| 1568098135 | Michelle Maes | Physical Therapist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-03-16 |
| 1326673211 | Jessica Nadona Sweet | Speech-Language Pathologist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-03-11 |
| 1518502327 | Victoria Rose Gerace | Dietitian, Registered | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-11-15 |
| 1396388674 | Christopher Thomas Jacob | Nurse Anesthetist, Certified Registered | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-10-19 |
| 1841851243 | Martha Georgette Velez | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-06-26 |
| 1437623998 | Bryan James Mccall | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-01-17 |
| 1689142002 | Tony Vick | Emergency Medical Technician, Paramedic | 1000 Waterman Way, Tavares, FL 32778-5266 | 2018-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
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| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302045 | Broward Health | Rehabilitation Unit | 1800 Sw 5th Place, Ft. Lauderdale, FL 33309 | 2016-09-01 |
| 1063892586 | Jd Solutions Center, Corp | Rehabilitation Unit | 6955 Nw 77th Ave Ste 310, Miami, FL 33166-2846 | 2015-06-01 |
| 1588085542 | Vista Medical Reheb Center. Inc | Rehabilitation Unit | 4355 W 16 Ave Suite 212, Hialeah, FL 33012-7670 | 2013-12-18 |
| 1134556988 | Exceptional Care Medical Group Corp | Rehabilitation Unit | 4355 W 16th Ave Ste 201, Hialeah, FL 33012-7667 | 2013-10-10 |
| 1033462254 | B&c Rehabilitation Center Inc | Rehabilitation Unit | 1800 Sw 27th Ave Ste 403, Miami, FL 33145-2400 | 2012-10-25 |
| 1184998544 | Universal Therapeutics Inc | Rehabilitation Unit | 6501 Nw 36th St Ste 411, Virginia Gardens, FL 33166-6964 | 2012-03-02 |
| 1518239185 | Light Rehabilitation Center, Inc | Rehabilitation Unit | 3060 Jog Rd, Greenacres, FL 33467-2052 | 2012-01-29 |
| 1215215405 | Eternal Beauty Corp | Rehabilitation Unit | 2794 W 68th St, Suite 103, Hialeah, FL 33016-5407 | 2011-07-22 |
| 1245521079 | Military Trail Rehab & Therapy Center | Rehabilitation Unit | 925 S Military Trl, Suite D6, West Palm Beach, FL 33415-3977 | 2011-04-27 |
| 1629388947 | Florida Rehabilitation Medical Center, Inc | Rehabilitation Unit | 1926 10th Ave N Ste 103, Lake Worth, FL 33461-3300 | 2010-10-20 |
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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.