CARMEN PONCE (NPI# 1992914634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992914634 |
| Entity Type | Individual |
| Full Name | CARMEN PONCE |
| Practice Address |
7224 Jaffery Ct Orlando FL 32835-6158 |
| Practice Telephone | 4078225330 |
| Mailing Telephone | 4078225330 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6905794 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 142415700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1609400373 | Carmen Ponce | Behavior Technician | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2020-03-02 |
| Street Address |
7224 JAFFERY CT |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-6158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551884 | Christle Haven LLC | Custodial Care Facility | 2523 Leston Ct, Orlando, FL 32817-2614 | 2020-03-02 |
| 1942772520 | Angels of Jesus | Custodial Care Facility | 1404 N Observatory Dr, Orlando, FL 32818-5916 | 2018-12-20 |
| 1639678139 | Lise's Garden Afch, LLC | Custodial Care Facility | 1542 Providence Cir, Orlando, FL 32818-5708 | 2018-02-09 |
| 1821506585 | Have Faith Care Services | Custodial Care Facility | 927 S Goldwyn Ave Ste 117, Orlando, FL 32805-4389 | 2018-01-16 |
| 1144743733 | A Home With Tlc LLC | Custodial Care Facility | 4116 Lenox Blvd, Orlando, FL 32811-4134 | 2017-07-25 |
| 1659824357 | Marie Francois | Custodial Care Facility | 8655 Tarragon Dr, Orlando, FL 32825-3644 | 2016-07-28 |
| 1003288499 | Edith Bort | Custodial Care Facility | 227 Woodbury Pines Cir, Orlando, FL 32828-9086 | 2015-10-23 |
| 1992106496 | Serenity Place Family Care Group Home | Custodial Care Facility | 2011 Carrington Dr, Orlando, FL 32807-5206 | 2014-09-16 |
| 1386045813 | Hermina Jean | Custodial Care Facility | 3502 Londonberry Blvd, Orlando, FL 32808-3629 | 2014-09-16 |
| 1790192979 | Serenity Adult Family Care Home LLC | Custodial Care Facility | 748 Mellowood Ave, Orlando, FL 32825-8077 | 2014-07-19 |
| 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.