SISTER WITH DESTINY (NPI# 1962920595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962920595 |
| Entity Type | Organization |
| Organization Name | SISTER WITH DESTINY |
| Practice Address |
5214 N. O. B. T Apt 103 Orlando FL 32810 |
| Mailing Address |
Po Box 682081 Orlando FL 32868 |
| Practice Telephone | 4075451924 |
| Practice Fax Number | 4075451924 |
| Mailing Telephone | 4074808392 |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2017-09-04 |
| Authorized Official Name | GERALDINE SIMS (CEO OWNER) |
| Authorized Official Telephone | 4075451924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
5214 N. O. B. T APT 103 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| 1376984138 | Maria Knight | Speech-Language Pathologist | 8710 Maitland Summit Blvd, Orlando, FL 32810 | 2013-07-09 |
| Find all providers in zip 32810 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794243 | Nujad Perez | Day Training, Developmentally Disabled Services | 12064 Theme Aly, Orlando, FL 32832-5144 | 2020-03-03 |
| 1487153102 | Shaneeka Denise Clemons | Day Training, Developmentally Disabled Services | 5229 Van Aken Dr, Orlando, FL 32808-2511 | 2018-02-08 |
| 1730614082 | Lakesha Richards | Day Training, Developmentally Disabled Services | 6152 Bolling Dr, Orlando, FL 32808-6008 | 2017-04-25 |
| 1780123331 | Lyfe Changes LLC | Day Training, Developmentally Disabled Services | 7415 Gatehouse Cir, Apt 180, Orlando, FL 32807-6011 | 2017-02-15 |
| 1467998930 | Ishmael Bougouneau | Day Training, Developmentally Disabled Services | 2059 Veranda Cir Bldg J, Orlando, FL 32808-4861 | 2017-01-09 |
| 1548617434 | Savvy's Immaculate Care LLC | Day Training, Developmentally Disabled Services | 409 Barry St, Orlando, FL 32808-8107 | 2016-05-20 |
| 1447619275 | Able Care, LLC | Day Training, Developmentally Disabled Services | 1530 S Primrose Dr, Orlando, FL 32806-2587 | 2016-02-22 |
| 1114397130 | Renee R Jordan | Day Training, Developmentally Disabled Services | 2281 Oshkosh Ct, Orlando, FL 32818-5258 | 2015-10-02 |
| 1215315205 | Yvette G Cherazar | Day Training, Developmentally Disabled Services | 1716 Daly St, Orlando, FL 32808-6016 | 2015-05-11 |
| 1528496056 | Angels Creative Childrens Therapy LLC | Day Training, Developmentally Disabled Services | 4417 E Colonial Dr, Orlando, FL 32803-5219 | 2013-10-18 |
| Find all providers in ORLANDO | ||||
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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.