MS. AWILDA THEODORE (NPI# 1992297634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992297634 |
| Entity Type | Individual |
| Full Name | MS. AWILDA THEODORE |
| Practice Address |
824a Lake Ave #309 Lake Worth FL 33460 |
| Practice Telephone | 5614254665 |
| Practice Fax Number | 5618283145 |
| Mailing Telephone | 5614254665 |
| Mailing Fax Number | 5618283145 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | 233660 | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | SUNBIZ | L14000078528 | 01 |
| FL | HOMEMAKER | 465654452 | 01 |
| Street Address |
824A LAKE AVE #309 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069694 | Soma Medical Center, P.a. | Internal Medicine | 330 South Dixie Hway, Lake Worth, FL 33460 | 2020-03-25 |
| 1659920072 | Dr G's Pharmacy, Inc | Pharmacy | 127 N Dixie Highway, Lake Worth, FL 33460 | 2019-09-09 |
| 1710542428 | Paul Robert Ahr | Psychologist | 702 N. Lakeside Drive, Lake Worth Beach, FL 33460 | 2019-05-08 |
| 1548732985 | Pickens Allison Gantt IIi | Acupuncturist | 1505 N Federal Hwy, Lake Worth, FL 33460 | 2018-12-26 |
| 1326562646 | Candy Marie Contrerez | Behavior Technician | 1306 S H St, Lake Worth, FL 33460 | 2017-07-28 |
| 1679003602 | Sylvia Grant | Registered Nurse | 919 12th Ave S, Lake Worth, FL 33460 | 2017-06-13 |
| 1720510662 | Jessica Montanez | Technician, Other | 1831 17th Court N, Lake Worth, FL 33460 | 2017-03-30 |
| 1629209630 | Emilia Isaza | Dentist | 325 S. Dixie Hwy, Suite #5, Lake Worth, FL 33460 | 2009-08-07 |
| 1174767909 | Cameron Bishop | Acupuncturist | 1505 North Federal Highway, Lake Worth, FL 33460 | 2009-04-23 |
| 1861661795 | Thomas Pino | Dentist | 415 South Federal Hwy, Suite 2, Lake Worth, FL 33460 | 2008-02-25 |
| Find all providers in zip 33460 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552910 | Rch Companion & Homemaker Services, LLC | Homemaker | 8401 Lake Worth Rd Ste 118, Lake Worth, FL 33467-2400 | 2019-08-06 |
| 1457815144 | Sonia Joseph | Homemaker | 6266 Wauconda Way W, Lake Worth, FL 33463-5870 | 2019-01-26 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1831706092 | Sea Angel Med, LLC | Homemaker | 4575 Lucerne Lakes Blvd W Apt 106, Lake Worth, FL 33467-8818 | 2020-09-30 |
| 1154977668 | Yes We Do Care Inc | Homemaker | 5726 Lincoln Cir E, Lake Worth, FL 33463-6757 | 2019-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558172 | Katrina Ann Fils-aime | Homemaker | 501 Goodlette-frank Rd N Ste D100, Naples, FL 34102-5666 | 2020-11-07 |
| 1538760368 | Tonique L Brown | Homemaker | 563 Little River Loop Apt 148, Altamonte Springs, FL 32714-1746 | 2020-11-06 |
| 1851992044 | Robin Kelly Tessman | Homemaker | 230 Cumquat Rd Ne, Lake Placid, FL 33852-5951 | 2020-11-04 |
| 1114526167 | Jennyre Reid | Homemaker | 2471 Nw 175th Ter, Miami Gardens, FL 33056-3611 | 2020-10-21 |
| 1750989315 | Yonile Derivois | Homemaker | 1849 Buchanan Bay Cir Apt 103, Orlando, FL 32839-1894 | 2020-10-15 |
| 1992303606 | Tori Vontrese Reddick | Homemaker | 4720 Magnolia Preserve Ave, Winter Haven, FL 33880-5027 | 2020-10-14 |
| 1346848124 | Seana Williams Shaw | Homemaker | 43 Petey Ct, Ocoee, FL 34761-4429 | 2020-10-13 |
| 1821696865 | Rhonda Denise Cunningham | Homemaker | 510 E Yonge St, Pensacola, FL 32503-3874 | 2020-10-13 |
| 1689271249 | Chiqueata Lashay Evans | Homemaker | 304 E 10th Ave, Havana, FL 32333-1918 | 2020-10-07 |
| 1639776768 | Anyah Poole | Homemaker | 3657 Tyson Green Way, Tallahassee, FL 32310-4963 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 33460 |
Please comment or provide details below to improve the information on MS. AWILDA THEODORE.
| 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.