ZACH ADULT FAMILY CARE HOME (NPI# 1952776635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952776635 |
| Entity Type | Organization |
| Organization Name | ZACH ADULT FAMILY CARE HOME |
| Practice Address |
2202 Maureen Dr Holiday FL 34690-4129 |
| Practice Telephone | 8137322350 |
| Mailing Telephone | 8137322350 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | ZACHEE MERISIER (ADMINISTRATOR) |
| Authorized Official Telephone | 8137322350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
M626980802110 | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735350 | Zach Adult Family Care Home | Custodial Care Facility | 3220 Lindell Ave, Tampa, FL 33610-7862 | 2020-09-22 |
| Street Address |
2202 MAUREEN DR |
| City | HOLIDAY |
| State | FL |
| Zip Code | 34690-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770136012 | Peter Steven Bertuccio Jr. | Behavior Technician | 5129 Sandlewood Dr, Holiday, FL 34690 | 2019-07-16 |
| 1699210088 | Lacie Wanner | Massage Therapist | 5331 Whipporwill Dr., Holiday, FL 34690 | 2016-12-21 |
| 1811063886 | Tarpon Springs Hospital Foundation Inc | Preventive Medicine | 2280 Us Highway 19, Hemh Occupational Health Service, Holiday, FL 34690 | 2006-11-28 |
| 1588739239 | Mark C Mccoy | Dentist | 4916 Mile Stretch Dr, Holiday, FL 34690 | 2006-11-21 |
| 1568436533 | Hsuan Shu Lai | General Practice | 4732 Mile Stretch Dr, Holiday, FL 34690 | 2006-02-15 |
| 1255336889 | David Seaman Lindberg Jr. | Internal Medicine | 5304 Milestretch Drive, Holiday, FL 34690 | 2005-06-20 |
| 1245729573 | Callie Blanco | Nurse Practitioner | 4740 Mile Stretch Dr, Holiday, FL 34690 | 2018-05-02 |
| 1033325527 | Diana Morris | Specialist | 3349 Cantrell St, Holiday, FL 34690-1820 | 2007-05-14 |
| 1457354474 | Shahina Javeed | Internal Medicine | 4904 Moog Rd, Holiday, FL 34690-1857 | 2005-05-23 |
| 1275785776 | Shahina Javeed Md Pa | Internal Medicine | 4904 Moog Rd, Holiday, FL 34690-1857 | 2008-10-15 |
| Find all providers in zip 34690 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
| 1881293843 | Inspire Family Home Care LLC. | Custodial Care Facility | 566 Forsyth Creek Ct, Apopka, FL 32712-3318 | 2020-10-21 |
| 1336747658 | Eddrena Thornton | Custodial Care Facility | 2233 Bluebird Ave, Bartow, FL 33830-2953 | 2020-10-09 |
| 1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
| 1568077469 | Titilayo M Dipe | Custodial Care Facility | 11215 Gold Compass St, Gibsonton, FL 33534-5698 | 2020-09-09 |
| 1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
| 1396354395 | Unique Adult Family Care Home Inc. | Custodial Care Facility | 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 | 2020-07-24 |
| 1790301687 | Nancy Isidor | Custodial Care Facility | 1728 Burnham Ct, Clermont, FL 34714-8048 | 2020-06-17 |
| 1326662206 | Yuwaret Haines | Custodial Care Facility | 13566 Rudi Loop, Spring Hill, FL 34609-7964 | 2020-06-05 |
| 1245854686 | Yves Carmen Dorsainvil | Custodial Care Facility | 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 | 2020-06-01 |
| 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.