RANDOLPH RODRIGUEZ (NPI# 1922493170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922493170 |
| Entity Type | Organization |
| Organization Name | RANDOLPH RODRIGUEZ |
| Other Organization Name | RANDOLPH RODRIGUEZ |
| Practice Address |
2434 Benjamin Dr Kissimmee FL 34744-2722 |
| Practice Telephone | 4075585656 |
| Practice Fax Number | 3212516542 |
| Mailing Telephone | 4075585656 |
| Mailing Fax Number | 3212516542 |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2015-04-04 |
| Authorized Official Name | MR. RANDOLPH RODRIGUEZ (PRESIDENT) |
| Authorized Official Telephone | 4075585656 |
| Authorized Official Credential | COTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
OTA 13834 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Randolph Rodriguez | Other Name - Individual/Organization |
| Street Address |
2434 BENJAMIN DR |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34744-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093086258 | Laura Rodriguez | Occupational Therapy Assistant | 2434 Benjamin Dr, Kissimmee, FL 34744-2722 | 2012-01-19 |
| 1083159404 | Randolph Rodriguez | Occupational Therapy Assistant | 2434 Benjamin Dr, Kissimmee, FL 34744-2722 | 2016-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1871126722 | Orlando Therapy Services LLC | Speech-Language Pathologist | 2815 Flamvoyan Street, Kissimmee, FL 34744 | 2020-02-19 |
| 1083197941 | Marilyn Mendez | Behavior Technician | 678 Cornestone Dr, Kissimmee, FL 34744 | 2018-09-07 |
| 1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
| 1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
| 1831698661 | Ramirez and Poulos M.d. P.a. | Ophthalmology | 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 | 2018-02-07 |
| 1548702517 | Laura L Wheeler | Counselor | 600 N Thacker, D63, Kissimmee, FL 34744 | 2016-11-08 |
| 1275992950 | Judith Ambrose | Case Management | 1320 N Main Street, Suite B, Saint Cloud, FL 34744 | 2016-02-23 |
| 1043685258 | Oreida Hernandez De Morissette | Case Management | 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 | 2015-12-14 |
| 1780062232 | Martin Alfredo Rosell | Hearing Instrument Specialist | 806 N Main Street, Kissimmee, FL 34744 | 2015-05-15 |
| Find all providers in zip 34744 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776671 | My Extended Family Home Care | Skilled Nursing Facility | 4766 Golden Gate Pkwy Ste 4, Naples, FL 34116-6935 | 2020-07-04 |
| 1538786173 | Magical Dreams Academy LLC | Skilled Nursing Facility | 966 Sw 82nd Ave, Miami, FL 33144-4271 | 2020-06-30 |
| 1427685692 | Fkppec1, Inc. | Skilled Nursing Facility | 5547 W Oakland Park Blvd, Lauderhill, FL 33313-1411 | 2020-03-26 |
| 1649807215 | Fkppec2, Inc. | Skilled Nursing Facility | 6515 Taft St, Hollywood, FL 33024-4008 | 2020-03-24 |
| 1285261867 | Fkppec3, Inc. | Skilled Nursing Facility | 8681 Coral Way, Miami, FL 33155-2337 | 2020-03-24 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1336794387 | South Florida Ppec Services, LLC | Skilled Nursing Facility | 15383 Nw 7th Ave Ste B, Miami, FL 33169-6205 | 2019-08-06 |
| 1710549019 | Caring Hearts Nursing Services LLC | Skilled Nursing Facility | 5700 Lake Worth Rd Ste 209-4, Greenacres, FL 33463-3270 | 2019-07-08 |
| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1871054254 | Happy Kids Ppec Foundation | Skilled Nursing Facility | 4756 Nw 167th St, Miami Lakes, FL 33014-6427 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
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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.