CARROUSEL THERAPY CENTER CORPORATION (NPI# 1992250518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992250518 |
| Entity Type | Organization |
| Organization Name | CARROUSEL THERAPY CENTER CORPORATION |
| Practice Address |
2520 Sand Mine Rd Davenport FL 33897-3402 |
| Mailing Address |
3201 Budinger Ave Saint Cloud FL 34769-7203 |
| Practice Telephone | 8635761900 |
| Practice Fax Number | 8884777678 |
| Mailing Telephone | 4078913054 |
| Mailing Fax Number | 8884777678 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | MRS. DALIS MINEIRA RIVERA (PRESIDENT) |
| Authorized Official Telephone | 4078913054 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | OT1601 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003711300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083167530 | Carrousel Therapy Center Corporation | Speech-Language Pathologist | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2016-08-02 |
| 1801247598 | Carrousel Therapy Center Corporation | Case Management | 4898 E Irlo Bronson Memorial Hwy, Saint Cloud, FL 34771-8714 | 2016-06-24 |
| 1295184455 | Carrousel Therapy Center Corporation | Counselor | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2016-06-08 |
| 1952759268 | Carrousel Therapy Center Corporation | Case Manager/Care Coordinator | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2016-05-26 |
| Street Address |
2520 SAND MINE RD |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33897-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437430071 | Kara Kelly | Speech-Language Pathologist | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2011-09-08 |
| 1952875239 | Gisela Michelle Everett Walker | Counselor | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2019-01-19 |
| 1548732696 | Rebecca Cristina Carral | Speech-Language Pathologist | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-12-28 |
| 1487126876 | Annamaria Vencenza Clark | Counselor | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-12-22 |
| 1144796772 | Mary Knowlton | Physical Therapy Assistant | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-10-22 |
| 1861972580 | Jacob Dunn | Physical Therapy Assistant | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-08-21 |
| 1679064257 | Alyssa Johnson | Specialist/Technologist | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-05-19 |
| 1255829446 | Christian David Quiles | Psychologist | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-04-24 |
| 1689187163 | Maria Del Pilar Mora | Psychologist | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2017-11-07 |
| 1285152595 | Evelina Pavlova | Counselor | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182703 | Isis Orozco | Case Management | 9031 Pelican Cove, Davenport, FL 33897 | 2020-07-24 |
| 1669001178 | Jean Maxcene Decarde | Clinic/Center | 548 Solana Circle, Davenport, FL 33897 | 2020-04-06 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1013474063 | Surgeons of Central Florida LLC | General Practice | 755 Jay Bee Avenue, Davenport, FL 33897 | 2019-02-26 |
| 1033687108 | Detsy Z Negron | Registered Nurse | 121 Champions Vue Loop, Apt 101, Davenport, FL 33897 | 2018-11-07 |
| 1487122917 | Angela Burgos | Case Manager/Care Coordinator | 457 La Mirage Street, Davenport, FL 33897 | 2018-11-02 |
| 1790198323 | Compassionate Home Health Care LLC | Non-emergency Medical Transport (VAN) | 248 Plumoso Loop, Davenport, FL 33897 | 2014-06-11 |
| 1740530542 | Santiago Lopez | Chiropractor | 170 Hastead Dr, Davenport, FL 33897 | 2012-09-19 |
| 1942471685 | Carolina Gemma Leuthner | Speech-Language Pathologist | 736 Rodchester Loop, Davenport, FL 33897 | 2008-03-21 |
| 1013926377 | Omayra Torres | Dentist | 7700 Lake Wilson Road, Davenport, FL 33897 | 2006-08-05 |
| Find all providers in zip 33897 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857123 | Omayra Rolon-rivera | Case Manager/Care Coordinator | 1371 Tuscana Ln Apt 6102, Davenport, FL 33896-5302 | 2020-10-05 |
| 1467921445 | Zaida Crane | Case Manager/Care Coordinator | 158 Hillside Dr, Davenport, FL 33897-4643 | 2018-11-19 |
| 1487122917 | Angela Burgos | Case Manager/Care Coordinator | 457 La Mirage Street, Davenport, FL 33897 | 2018-11-02 |
| 1548716137 | Chase Norris | Case Manager/Care Coordinator | 1405 Leclaire St, Davenport, IA 52803-4426 | 2016-09-01 |
| 1386044600 | Janice Udy | Case Manager/Care Coordinator | 3700 Us Highway 17 92 N, Davenport, FL 33837-9584 | 2014-08-25 |
| 1578898367 | Beverly Dabrio | Case Manager/Care Coordinator | 332 Cassia Dr, Davenport, FL 33897-9553 | 2009-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023925 | Eddy David | Case Manager/Care Coordinator | 1118 Grayson Dr, Orlando, FL 32825-6724 | 2020-11-06 |
| 1316547615 | Kyomi Santana | Case Manager/Care Coordinator | 8100 Oak Ln Ste 4048100, Miami Lakes, FL 33016-5820 | 2020-10-27 |
| 1538768072 | Emma Eloisa Cruz | Case Manager/Care Coordinator | 1105 Cobblestone Cir Apt B, Kissimmee, FL 34744-5563 | 2020-10-24 |
| 1891394409 | Ariadna Cannet | Case Manager/Care Coordinator | 27583 Sw 143rd Ct, Homestead, FL 33032-8871 | 2020-10-23 |
| 1952900839 | Yipsia Mayrelis Cordovi Cancio | Case Manager/Care Coordinator | 3837 Sw 79th Ave Apt A, Miami, FL 33155-6755 | 2020-10-21 |
| 1326646985 | Lewis Connects | Case Manager/Care Coordinator | 885 Hickory Ave, Orange City, FL 32763-6864 | 2020-10-15 |
| 1821696071 | Dianelis Ramirez | Case Manager/Care Coordinator | 6245 Dell St, Orlando, FL 32809-4311 | 2020-10-10 |
| 1548867831 | Jessica Bickman | Case Manager/Care Coordinator | 1026 Replica Ave, Sebring, FL 33872-2720 | 2020-10-08 |
| 1679180392 | Astrid C Montesinos Franco | Case Manager/Care Coordinator | 7656 Nw 5th St Apt 4f, Plantation, FL 33324-1940 | 2020-09-27 |
| 1245847136 | Dagmara Jimenez | Case Manager/Care Coordinator | 912 Sw 104th Ave, Miami, FL 33174-2756 | 2020-09-25 |
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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.