SOUTH FLORIDA HOME MODIFICATION LLC (NPI# 1962998021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962998021 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA HOME MODIFICATION LLC |
| Practice Address |
931 Village Blvd Ste 905-417 West Palm Beach FL 33409-1803 |
| Practice Telephone | 5616604480 |
| Mailing Telephone | 5616604480 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | JEAN RUSSO (MGR/MEMBER) |
| Authorized Official Telephone | 5616604480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
FL | Other Service Providers |
| Street Address |
931 VILLAGE BLVD STE 905-417 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33409-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
| 1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
| 1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
| 1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
| 1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
| 1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
| Find all providers in zip 33409 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640895 | Dc Green, LLC | Contractor | 2831 Exchange Ct Ste A, West Palm Beach, FL 33409-4046 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143905 | D Roberts Construction | Contractor | 2009 Se Madison St, Stuart, FL 34997-5859 | 2020-01-20 |
| 1619510765 | Lotus Yamna Dinan | Contractor | 14505 Rialto Ave, Brooksville, FL 34613-5050 | 2019-10-22 |
| 1588211957 | Oac Action Construction Corp. | Contractor | 11980 Sw 144th Ct Ste 101, Miami, FL 33186-8603 | 2019-08-21 |
| 1780236331 | W. M. Ventures, LLC | Contractor | 1430 Nw 21st St, Homestead, FL 33030-3174 | 2019-07-14 |
| 1891257697 | Ba Skinner Group Inc. | Contractor | 1575 Aviation Center Pkwy Ste 525, Daytona Beach, FL 32114-3864 | 2019-04-02 |
| 1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
| 1952874893 | Yettie Thompkins | Contractor | 414 Lincoln Rd, Cocoa, FL 32926-4147 | 2019-01-03 |
| 1356836100 | Goodman Services, LLC | Contractor | 2132 22nd Ave S, St Petersburg, FL 33712-3117 | 2018-06-25 |
| 1710471883 | Alfredo Llop | Contractor | 7976 Nw 114th Path, Medley, FL 33178-2503 | 2018-06-21 |
| 1366953952 | Jillian L Ricard | Contractor | 926 Se Belfast Avenue, Port Saint Lucie, FL 34983-3498 | 2017-10-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST PALM BEACH |
| Zip Code | 33409 |
Please comment or provide details below to improve the information on SOUTH FLORIDA HOME MODIFICATION LLC.
| 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.