OPEN ARMS MED WAIVER PROVIDER, INC (NPI# 1871799890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871799890 |
Entity Type | Organization |
Organization Name | OPEN ARMS MED WAIVER PROVIDER, INC |
Practice Address |
37640 Quail Ridge Cir Leesburg FL 34788-8117 |
Mailing Address |
Po Box 595 Tavares FL 32778-0595 |
Practice Telephone | 3525513263 |
Practice Fax Number | 3525894442 |
Mailing Telephone | 3525513263 |
Mailing Fax Number | 3525894442 |
Enumeration Date | 2007-06-26 |
Last Update Date | 2008-05-15 |
Authorized Official Name | MR. ANTONY M SCHLISSIO (CO-OWNER) |
Authorized Official Telephone | 3525513263 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 677896896 | 05 | |
FL | 677896898 | 05 |
Street Address |
37640 QUAIL RIDGE CIR |
City | LEESBURG |
State | FL |
Zip Code | 34788-8117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
Find all providers in zip 34788 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619474483 | Second Acts | Day Training, Developmentally Disabled Services | 305 Harrison St Se Ste 100a, Leesburg, VA 20175-3729 | 2018-04-09 |
1003341199 | Chantress Poole | Day Training, Developmentally Disabled Services | 2319 Centennial Blvd, Leesburg, FL 34748-3215 | 2017-04-26 |
1811354574 | Stephanie Brown | Day Training, Developmentally Disabled Services | 1416 Griffin Rd, Leesburg, FL 34748-3435 | 2016-01-25 |
1245605591 | Martina Wright | Day Training, Developmentally Disabled Services | 2641 Shirleys Way Apt 204, Leesburg, FL 34748-3040 | 2015-12-10 |
1750530994 | Patricia A. Carson | Day Training, Developmentally Disabled Services | 191 Patrice Hope St, Leesburg, FL 34748-7342 | 2008-09-11 |
1346407111 | Wings of Love of Leesburg, LLC | Day Training, Developmentally Disabled Services | 1018 W North Blvd, Leesburg, FL 34748-5057 | 2008-05-20 |
1548881931 | Love Thy Neighbor Care, Inc | Day Training, Developmentally Disabled Services | 2106 Butler St, Leesburg, FL 34748-5502 | 2020-04-27 |
1114458577 | Bridging Waters Together, LLC | Day Training, Developmentally Disabled Services | 34035 Hunt Ave, Leesburg, FL 34788-4368 | 2017-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528361 | Where The Heart Is Home Care Services LLC | Day Training, Developmentally Disabled Services | 110 E Broad St Apt 204, Tampa, FL 33604-4132 | 2020-11-04 |
1801496674 | Brandon Martinez | Day Training, Developmentally Disabled Services | 1884 Sw 81st Way, Davie, FL 33324-4609 | 2020-10-29 |
1639779721 | The Unique Way LLC | Day Training, Developmentally Disabled Services | 1025 S Ohio Ave Apt 15, Lakeland, FL 33803-1283 | 2020-10-28 |
1821696394 | Devotion of Care LLC | Day Training, Developmentally Disabled Services | 1801 Nw 3rd St, Pompano Beach, FL 33069-2756 | 2020-10-15 |
1538767298 | Healthy Group Home Project, LLC. | Day Training, Developmentally Disabled Services | 849 Mulberry Ave, Panama City, FL 32401-2556 | 2020-10-15 |
1902404742 | Brite Life Adult Training Program, LLC | Day Training, Developmentally Disabled Services | 1300 Nw 95th St, Miami, FL 33147-3320 | 2020-10-14 |
1134727845 | Four Seasons Aba | Day Training, Developmentally Disabled Services | 6 Meridian Home Ln, Palm Coast, FL 32137-2402 | 2020-10-14 |
1760089429 | Helping Angels Thrive, Inc. | Day Training, Developmentally Disabled Services | 305 Providence Rd Apt 101, Brandon, FL 33511-4739 | 2020-10-06 |
1245847268 | Joshua R Grant | Day Training, Developmentally Disabled Services | 2405 Almeda St, Jacksonville, FL 32209-4632 | 2020-09-24 |
1417562257 | Peace of Mind Home Care Services | Day Training, Developmentally Disabled Services | 1102 Ray Charles Blvd Unit 314, Tampa, FL 33602-3050 | 2020-09-09 |
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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.