DADE CITY, FL OPCO, LLC (NPI# 1942747514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942747514 |
| Entity Type | Organization |
| Organization Name | DADE CITY, FL OPCO, LLC |
| Practice Address |
230 W Monroe St Suite 2540 Chicago IL 60606-4703 |
| Mailing Address |
14235 Edwinola Way Dade City FL 33523-3763 |
| Practice Telephone | 3127248950 |
| Mailing Telephone | 3525676500 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | ISAAC DOLE (MANAGER/PRINCIPAL) |
| Authorized Official Telephone | 3127248950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | FL | Nursing & Custodial Care Facilities |
| Street Address |
230 W MONROE ST SUITE 2540 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60606-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023129301 | Bruce Huck | Internal Medicine | 230 W Monroe St, Suite 1925, Chicago, IL 60606-4703 | 2006-08-31 |
| 1164968434 | Jonathan Mizgala | Nurse Practitioner | 230 W Monroe St, 1925, Chicago, IL 60606-4703 | 2017-01-11 |
| 1174075204 | Susan C Pastor | Nurse Practitioner | 230 W Monroe St, Suite 2540, Chicago, IL 60606-4703 | 2016-10-24 |
| 1285184150 | Tifany Jamison | Nurse Practitioner | 230 W Monroe St, Suite 2540, Chicago, IL 60606-4703 | 2016-10-04 |
| 1760931513 | Midwest Post Acute Care LLC | Nursing Facility/Intermediate Care Facility | 230 W Monroe St, Chicago, IL 60606-4703 | 2016-09-21 |
| 1578019303 | Lauren Leigh Kemp | Nurse Practitioner | 230 W Monroe St, Suite 2540, Chicago, IL 60606-4703 | 2016-08-31 |
| 1720433048 | Mary Ann Jones | Nurse Practitioner | 230 W Monroe St, Chicago, IL 60606-4703 | 2016-04-25 |
| 1508264292 | Kristin Lynn King | Nurse Practitioner | 230 W Monroe St, Suite 2540, Chicago, IL 60606-4703 | 2014-12-11 |
| 1326159690 | John Brill | Internal Medicine | 230 W Monroe St, Suite 1925, Chicago, IL 60606-4703 | 2006-08-31 |
| 1275644551 | Michele Kannin | Internal Medicine | 230 W Monroe St, Suite 1925, Chicago, IL 60606-4703 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286462 | James Topolski | Counselor | 150 S Wacker Driver, Ste 2400, Chicago, IL 60606 | 2020-05-13 |
| 1124500046 | R.c. & Associates LLC | Marriage & Family Therapist | 150 South Wacker Drive, #2400, Chicago, IL 60606 | 2018-09-06 |
| 1720581101 | Arch Angel Services | Counselor | 10 S. Riverside Plaza, Suite 875, Chicago, IL 60606 | 2018-03-13 |
| 1316453178 | Johanna Richter Nutrition & Wellness LLC | Dietitian, Registered | 211 W Wacker Dr Ste 230, Chicago, IL 60606 | 2017-12-15 |
| 1215466792 | Kelly Albers | Physical Therapist | 125 South Wacker Drive, 475, Chicago, IL 60606 | 2017-06-08 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1255880555 | Katie Marie Edwards-humpal | Nurse Practitioner | 225 W Washington 2floor, Chicago, IL 60606 | 2016-09-27 |
| 1922454255 | Revolution Physical Therapy Weight Loss | Clinic/Center | 205 N. Wells St., Chicago, IL 60606 | 2016-05-05 |
| 1558725101 | Robin Weber | Physical Therapy Assistant | 205 N. Wells Street, Chicago, IL 60606 | 2016-04-11 |
| 1427439041 | Kathleen Habschmidt | Physical Therapist | 1020 W Wacker Dr, Suite 205, Chicago, IL 60606 | 2015-06-10 |
| Find all providers in zip 60606 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1851849269 | Alden Courts of Waterford, L.L.C. | Assisted Living Facility | 4200 W. Peterson Ave. Suite 140, Chicago, IL 60646-6074 | 2016-09-14 |
| 1740635663 | Friend Family Health Center, Inc | Assisted Living Facility | 6134 S Cottage Grove Ave, Chicago, IL 60637 | 2016-04-28 |
| 1760851364 | Goldblatts of Chicago Limited Partnership | Assisted Living Facility | 4707 S Marshfield Ave, Chicago, IL 60609-4159 | 2015-09-24 |
| 1982900445 | Covenant Home of Chicago | Assisted Living Facility | 2720 West Foster Avenue, Chicago, IL 60625-3510 | 2011-02-01 |
| 1215269071 | Renaissance Saint Luke Slf Lp | Assisted Living Facility | 1501 W Melrose St, Chicago, IL 60657-9083 | 2010-02-04 |
| 1346579398 | Genesis Rehabilitation Services | Assisted Living Facility | 7120 N Sheridan Rd, # 201, Chicago, IL 60626-2900 | 2009-12-21 |
| 1992946214 | Victory Centre of South Chicago LLC | Assisted Living Facility | 3251 E 92nd St, Chicago, IL 60617-4660 | 2009-03-17 |
| 1861638181 | Victory Centre of Galewood LLC | Assisted Living Facility | 2370 N Newcastle Ave, Chicago, IL 60707-2955 | 2008-12-17 |
| Find all providers in CHICAGO | ||||
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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.