SENIOR SIDEKICKS OF CENTRAL FLORIDA LLC (NPI# 1962847657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962847657 |
| Entity Type | Organization |
| Organization Name | SENIOR SIDEKICKS OF CENTRAL FLORIDA LLC |
| Practice Address |
169 Walnut Crest Run Sanford FL 32771-7987 |
| Mailing Address |
Po Box 471444 Lake Monroe FL 32747-1444 |
| Practice Telephone | 4077123949 |
| Mailing Telephone | 4077123949 |
| Mailing Fax Number | 4078785949 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Authorized Official Name | SHELBY MEDLEY (CEO/OWNER) |
| Authorized Official Telephone | 4077123949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 233013 | FL | Agencies |
| Street Address |
169 WALNUT CREST RUN |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-7987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749203 | Abundant Provision Home Care | In Home Supportive Care | 622 Washington Ave, Sanford, NC 27330-4744 | 2020-04-19 |
| 1871138842 | Amy Turner | In Home Supportive Care | 1706b Ridgewood Ln, Sanford, FL 32773-4963 | 2019-11-13 |
| 1154962355 | United Angels Home Care Inc | In Home Supportive Care | 601 Lake Minnie Dr, # 4058, Sanford, FL 32773 | 2019-09-30 |
| 1598265050 | More Life Home Care LLC | In Home Supportive Care | 113 S Magnolia Ave Ste 206, Sanford, FL 32771-1307 | 2018-02-20 |
| 1790029130 | Home Care Agency of North Carolina, LLC | In Home Supportive Care | 111 Dennis Dr Ste 121, Sanford, NC 27330-6461 | 2012-11-26 |
| 1285940353 | Kingdom Kare for The Elderly | In Home Supportive Care | 357 Conch Key Way, Sanford, FL 32771-5219 | 2010-08-26 |
| 1780998310 | Transitions Home Healthcare, LLC | In Home Supportive Care | 4305 Saint Johns Pkwy, Sanford, FL 32771-6381 | 2010-08-06 |
| 1780912436 | Parkview In Home Aide Services | In Home Supportive Care | 620 Westover Drive, Sanford, NC 27331-4057 | 2009-11-18 |
| 1235367087 | Kathy Gotschall | In Home Supportive Care | 80 Mount Hope Rd, Sanford, ME 04073-5019 | 2009-06-30 |
| 1679687156 | Parkview In Home Aide Services Inc | In Home Supportive Care | 620 Westover Dr, Sanford, NC 27331-4057 | 2006-08-19 |
| Find all providers in SANFORD | ||||
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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.