MR. SEAN M HENDLEY (NPI# 1912478454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912478454 |
| Entity Type | Individual |
| Full Name | MR. SEAN M HENDLEY |
| Practice Address |
11534 Ashton Field Ave Riverview FL 33579-2374 |
| Practice Telephone | 8134931516 |
| Practice Fax Number | 8135134390 |
| Mailing Telephone | 8134931516 |
| Mailing Fax Number | 8135134390 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251X00000X | Supports Brokerage | Agencies |
| Street Address |
11534 ASHTON FIELD AVE |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33579-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558825810 | Sabrina D Hendley | Clinic/Center | 11534 Ashton Field Ave, Riverview, FL 33579-2374 | 2019-01-30 |
| 1528539053 | Humble Victory Services, LLC | Non-emergency Medical Transport (VAN) | 11534 Ashton Field Ave, Riverview, FL 33579-2374 | 2018-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912505 | Joanna Johnson | Developmental Therapist | 10910 Keys Gate Drive, Riverview, FL 33579 | 2020-05-05 |
| 1255815114 | Advanced Dental Care of Riverview Pllc | Clinic/Center | 13018 S Us Highway 301, Riverview, FL 33579 | 2018-09-18 |
| 1265920078 | Takashi Dixon | Dentist | 10625 Big Bend Rd, Riverview, FL 33579 | 2018-04-26 |
| 1821513243 | Marie Evens Murat | Registered Nurse | 12718 Lovers Lane, Riverview, FL 33579 | 2017-08-07 |
| 1467907857 | Dorothy Araujo | Assisted Living Facility | 11626 Tropical Isle Ln, Riverview, FL 33579 | 2016-08-16 |
| 1134571128 | Tampa Institute for Pain and Spine, LLC | Anesthesiology | 13140 Elk Mountain Dr, Suite B, Riverview, FL 33579 | 2016-07-01 |
| 1669832242 | Shawn Mckeag | Speech-Language Pathologist | 11838 Newberry Grove Loop, Riverview, FL 33579 | 2016-02-25 |
| 1902202377 | Jose Gerena | Adult Companion | 11325 Village Brook Dr, Riverview, FL 33579 | 2014-11-13 |
| 1912259409 | Brandi L Torres | Nurse Practitioner | 10729 Queens Town Drive, Riverview, FL 33579 | 2012-10-08 |
| 1952677700 | Crystal Nache Clark | Counselor | 13902 Sage Thrasher Lane, Riverview, FL 33579 | 2012-03-27 |
| Find all providers in zip 33579 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1932710498 | Tolani Dewumi-olowoyo | Clinic/Center | 11314 Sage Canyon Dr, Riverview, FL 33578-9318 | 2020-08-10 |
| 1740751833 | Kangni Serge Folly-notsron | Clinic/Center | 7920 Moccasin Trail Dr, Riverview, FL 33578-8611 | 2018-12-16 |
| 1104329143 | Joy House | Clinic/Center | 7435 Mint Julep Dr, Riverview, FL 33578-8840 | 2018-03-15 |
| 1336667666 | Audrenita Blair Turner | Clinic/Center | 12907 Brant Tree Dr, Riverview, FL 33579-7086 | 2017-09-07 |
| 1558825810 | Sabrina D Hendley | Clinic/Center | 11534 Ashton Field Ave, Riverview, FL 33579-2374 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| 1902405897 | Solution Care Family Inc | Clinic/Center | 3923 Buttercup Cir N, Palm Beach Gardens, FL 33410-5664 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. SEAN M HENDLEY.
| 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.