SWAN S.P. ENTERPRISES (NPI# 1942605548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942605548 |
| Entity Type | Organization |
| Organization Name | SWAN S.P. ENTERPRISES |
| Other Organization Name | PROMISE MANOR WELLCARE |
| Practice Address |
45 W 17th St Riviera Beach FL 33404-6121 |
| Practice Telephone | 5618637481 |
| Mailing Telephone | 5618637481 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | SANDRA M CAMERON (ADMINISTRATOR) |
| Authorized Official Telephone | 5618637481 |
| Is Organization Subpart | Y |
| Parent Organization Name | SWAN S P ENTERPRISES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| PROMISE MANOR WELLCARe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710381736 | Swan S.p. Enterprises | Assisted Living Facility | 45 W 17th St, Riviera Beach, FL 33404-6121 | 2014-10-20 |
| Street Address |
45 W 17TH ST |
| City | RIVIERA BEACH |
| State | FL |
| Zip Code | 33404-6121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295233062 | Urp Detox, LLC | Substance Abuse Rehabilitation Facility | 45 W 17th St, Riviera Beach, FL 33404 | 2018-01-26 |
| 1710381736 | Swan S.p. Enterprises | Assisted Living Facility | 45 W 17th St, Riviera Beach, FL 33404-6121 | 2014-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050393 | Sarina Tsien Chun Ken | Nurse Practitioner | 1102 Centerstone Lane, West Palm Beach, FL 33404 | 2020-10-13 |
| 1417509613 | Amber Tamara Seaman | Social Worker | 2001 Bue Herron Drive, Riviera Beach, FL 33404 | 2019-07-09 |
| 1407419252 | Tiara Priester | Nurse's Aide | 1625 West 26th Street Riviera Beach,fl, Riviera Beach, FL 33404 | 2019-04-17 |
| 1598274110 | Yolanda Victoria Mckinney-foy | Counselor | 2910 Avenue F, Riviera Beach, FL 33404 | 2017-09-26 |
| 1356867626 | Lynette Patrice Copeland | Speech-Language Pathologist | 1901 Avenue S, 1901 Avenue S, Rivera Beach, FL 33404 | 2017-08-18 |
| 1205359320 | Community Development and Empowerment Group, Inc. | Registered Nurse | 3148 Laurel Ridge Circle, Riviera Beach, FL 33404 | 2017-07-20 |
| 1407387327 | Chelsea Flint | Counselor | 2201 Blue Heron Blvd. W., Riviera Beach, FL 33404 | 2017-03-22 |
| 1841736923 | Tangeria Mckinney | Clinic/Center | 1992 West 16th Court Apt D, Riviera Beach, FL 33404 | 2017-01-12 |
| 1942742994 | Ambrosia Treatment Center | Substance Abuse Rehabilitation Facility | 2675 Lake Drive, Singer Island, FL 33404 | 2016-11-08 |
| 1225499874 | Rhesa Riley | Marriage & Family Therapist | 2001 Blue Heron Blvd W., Riviera Beach, FL 33404 | 2016-03-10 |
| Find all providers in zip 33404 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396461 | Hillendale Cares LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27357 Frampton Ave, Brooksville, FL 34602-7306 | 2020-11-02 |
| 1699375485 | Violange Joseph | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3310 Sw Frankford St, Port St Lucie, FL 34953-4937 | 2020-10-29 |
| 1407468986 | Winchester Oaks Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 871 Winchester St, Daytona Beach, FL 32114-1977 | 2020-08-17 |
| 1609486844 | Aclaris Care Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7711 N Rome Ave, Tampa, FL 33604-4615 | 2020-08-03 |
| 1386253987 | Rosa Estela Companioni | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6704 Commodore Way, Tampa, FL 33615-5810 | 2020-07-29 |
| 1972121192 | Victorian Manor, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11150 Sw 42nd Ct, Davie, FL 33328-2140 | 2020-07-14 |
| 1881233716 | Elizabeth Stapleton | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4628 25th St Sw, Lehigh Acres, FL 33973-6161 | 2019-12-23 |
| 1689217887 | Angelchild Homecare Corp Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1641 Sunset Point Rd, Clearwater, FL 33755-1657 | 2019-10-21 |
| 1659927325 | Coby Cares Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1754 Barnstable Rd, Wellington, FL 33414-6143 | 2019-08-17 |
| 1518520725 | Freshen Schammua Docile | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9097 Sw 4th St, Boca Raton, FL 33433-4607 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
| City | RIVIERA BEACH |
| Zip Code | 33404 |
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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.