JAYNE BERGEN (NPI# 1922638113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922638113 |
Entity Type | Individual |
Full Name | JAYNE BERGEN |
Practice Address |
8309 Norbert St Spring Hill FL 34606-3144 |
Mailing Address |
2091 Gold Rd Spring Hill FL 34609-6042 |
Practice Telephone | 8135165558 |
Mailing Telephone | 3523464421 |
Enumeration Date | 2020-01-16 |
Last Update Date | 2020-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
8309 NORBERT ST |
City | SPRING HILL |
State | FL |
Zip Code | 34606-3144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679196877 | Ruth A Bertone | Developmental Therapist | 6835 Eastbrook Drive, Spring Hill, FL 34606 | 2020-05-21 |
1023508405 | Ambassador Health Services, Inc. | In Home Supportive Care | 4048 Deltona Blvd, Spring Hill, FL 34606 | 2018-05-11 |
1295233393 | Back To Health Chiropractic LLC | Chiropractor | 3479 Deltona Blvd, Spring Hill, FL 34606 | 2018-01-24 |
1831614080 | Florida Medical Pain Management | Anesthesiology | 5270 Applegate Drive, Spring Hill, FL 34606 | 2017-08-09 |
1639543200 | Green Leaf and Company, LLC | Point of Service | 7364 Lagood Rd, Spring Hill, FL 34606 | 2015-11-19 |
1578993200 | Deltona Home of Tlc Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1287 Deltona Blvd, Spring Hill, FL 34606 | 2013-11-15 |
1407289291 | Leslie Kaye Griffen | Nurse Practitioner | 8391 Omaha Circle, Spring Hill, FL 34606 | 2013-08-15 |
1508200213 | Nic 5 Forest Oaks Leasing LLC | Assisted Living Facility | 8055 Forest Oaks Blvd., Spring Hill, FL 34606 | 2013-04-24 |
1316278807 | Carmen Serrano | Massage Therapist | 8329 Nevada St, Springhill, FL 34606 | 2010-01-22 |
1427299700 | Jeanine Smith Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7338 Spring Hill Dr, Spring Hill, FL 34606 | 2009-03-16 |
Find all providers in zip 34606 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538710124 | Jose Rodriguez | Technician | 4023 Puffer Trce Apt 44d, Spring Hill, FL 34609-0521 | 2019-09-25 |
1346899473 | Maria L Melendez | Technician | 5024 Ginnie Ct, Spring Hill, FL 34608-2608 | 2019-09-11 |
1013566140 | Erin Kathleen Shutt | Technician | 6442 Covewood Dr, Spring Hill, FL 34609-1114 | 2019-09-11 |
1558910174 | Patricia G Miller | Technician | 9232 Jena Rd, Spring Hill, FL 34608-4768 | 2019-09-06 |
1184272171 | Aimee Fernadez I | Technician | 11407 Norwood St, Spring Hill, FL 34609-2210 | 2019-09-03 |
1134777121 | Synette Ann Busch | Technician | 1067 Edgehill Ave, Spring Hill, FL 34606-5718 | 2019-09-03 |
1518515840 | Kathleen Stevens | Technician | 16645 Midsummer Ln, Spring Hill, FL 34610-9018 | 2019-08-29 |
1689222101 | Mitchell Gerchman | Technician | 8473 Bay Dr, Spring Hill, FL 34606-2111 | 2019-08-28 |
1932757481 | Belinda Lee Formento | Technician | 218 Fountain Ct, Spring Hill, FL 34606-5939 | 2019-08-28 |
1437707908 | Linda Lou Caputo | Technician | 14411 Aubrey Ave, Spring Hill, FL 34610-1044 | 2019-08-28 |
Find all providers in SPRING HILL |
City | SPRING HILL |
Zip Code | 34606 |
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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.