EDITHA IGNACIO


Address: 1636 E Shangri La Dr, Daytona Beach, FL 32119-1520
Phone: 3867678048

EDITHA IGNACIO (NPI# 1912323056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912323056
Entity Type Individual
Full Name EDITHA IGNACIO
Practice Address 1636 E Shangri La Dr
Daytona Beach
FL 32119-1520
Practice Telephone 3867678048
Mailing Telephone 3867678048
Enumeration Date 2014-03-13
Last Update Date 2014-03-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 11691 FL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 001574900 05

Office Location

Street Address 1636 E SHANGRI LA DR
City DAYTONA BEACH
State FL
Zip Code 32119-1520

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1720451040 Tyler M Mckinniss Chiropractor 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119 2015-11-09
1821428954 Jesse Robert Hodges Jr. Chiropractor 1780 S Nova Rd Ste 4, South Daytona, FL 32119 2013-11-27
1831347350 Pamela Marie Lavigna Counselor 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 2008-09-09
1922214279 Karen Sue Pulaski Physical Therapist 401 Venture Ave. Suite C, South Daytona, FL 32119 2007-05-15
1245369180 Cathryn C Cucchiaro Marriage & Family Therapist 2001 S Ridgewood Ave, South Daytona, FL 32119 2007-03-05
1629136775 Dennis Andrew Kuack Dentist 2644 S Ridgewood Ave, South Daytona, FL 32119 2006-12-04
1639246630 Robert J Amara Chiropractor 2750 S Ridgewood Ave #c, South Daytona, FL 32119 2006-11-29
1306910385 Filutowski Eye Institute Pa Clinic/Center 110 Yorktowne Drive, Daytona Beach, FL 32119 2006-11-20
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104436443 Baywood Meadows Assisted Living Assisted Living Facility 105 Baywood Dr, Daytona Beach, FL 32117-4601 2020-08-02
1194140509 Senior Life LLC Assisted Living Facility 619 Orange Ave, Daytona Beach, FL 32114-4786 2014-02-20
1275957276 Isabelle Berber Assisted Living Facility 1249 Suwanee Rd, Daytona Beach, FL 32114-5918 2014-02-11
1942624366 Justina Threadgill Assisted Living Facility 1312 Mardrake Rd, Daytona Beach, FL 32114-5940 2014-02-05
1912337866 Compassion In Healthcare Inc Assisted Living Facility 700 Beville Rd, Daytona Beach, FL 32114-5924 2013-11-13
1013345883 Kist Alf, Inc Assisted Living Facility 1516 Carmen Avenue, Daytona Beach, FL 32117 2013-10-14
1306180724 Lakewood Park Investments Inc Assisted Living Facility 1220 Jimmy Ann Dr, Daytona Beach, FL 32117-3818 2012-11-26
1316281215 Selah - Forest Lake Manor, LLC Assisted Living Facility 252 Forest Lake Blvd, Daytona Beach, FL 32119-8106 2012-11-15
1699036285 Shady Oaks Rest Home Inc. Assisted Living Facility 1208 Kennedy Rd, Daytona Beach, FL 32117 2012-05-31
1437266350 The Place At Daytona Beach, Inc. Assisted Living Facility 570 National Health Care Dr, Daytona Beach, FL 32114-1494 2006-08-24
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Competitor

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City DAYTONA BEACH
Zip Code 32119

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Dataset Information

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.

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