ROBERT J STORERLLI (NPI# 1033413521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033413521 |
| Entity Type | Organization |
| Organization Name | ROBERT J STORERLLI |
| Other Organization Name | ADULT FAMILY CARE HOME |
| Practice Address |
9915 Aetna Ln Port Richey FL 34668-4058 |
| Practice Telephone | 7278428701 |
| Practice Fax Number | 7278495513 |
| Mailing Telephone | 7278428701 |
| Mailing Fax Number | 7278495513 |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | MR. ROBERT JOSEPH STORELLI (PROVIDER) |
| Authorized Official Telephone | 7278428701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6905599 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 141895500 | 05 |
| Other Name | Type Code |
|---|---|
| adult family care home | Doing Business As Name - Organization |
| Street Address |
9915 AETNA LN |
| City | PORT RICHEY |
| State | FL |
| Zip Code | 34668-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287296 | Manuel Dejesus Correa | Counselor | 9550 Us19 Ste. 202, Port Richey, FL 34668 | 2018-09-04 |
| 1679069256 | Linda Elaine Harper Gorski | Counselor | 6745 Vinanta Ct, Port Richey, FL 34668 | 2018-07-06 |
| 1477063378 | Michelle Jean Ebbert | Hearing Instrument Specialist | 9304 U.S. Hwy N., Port Richey, FL 34668 | 2017-10-05 |
| 1013426618 | Arlene Taylor | Social Worker | 9550 Us Hwy 19, Port Richey, FL 34668 | 2017-09-26 |
| 1285143925 | Pa Group Inc | Pharmacy | 11618 Us Hwy 19, Port Richey, FL 34668 | 2017-09-26 |
| 1467971978 | Marie Waite | Social Worker | Marie Waite, 7403 Bougenville Drive, Port Richey, FL 34668 | 2017-09-15 |
| 1356890131 | Smileycares | Custodial Care Facility | 9125 Lunar Lane, Port Richey, FL 34668 | 2016-09-22 |
| 1336405109 | Staywell Pharmacy Inc. | Pharmacy | 10112 Us Hwy 19, Port Richey, FL 34668 | 2012-04-06 |
| 1821247925 | Milton Rivera | Licensed Practical Nurse | 7701 Arbordale Dr., Port Richey, FL 34668 | 2008-09-12 |
| 1518131424 | Syrnix, Inc | Durable Medical Equipment & Medical Supplies | 7200 San Miguel Dr, Port Richey, FL 34668 | 2008-04-22 |
| Find all providers in zip 34668 | ||||
| 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 |
|---|---|---|---|---|
| 1356890131 | Smileycares | Custodial Care Facility | 9125 Lunar Lane, Port Richey, FL 34668 | 2016-09-22 |
| 1417350349 | Esmeralda Santos | Custodial Care Facility | 9421 Barrington Ln, Port Richey, FL 34668-4456 | 2014-10-07 |
| 1144572686 | Robert E Taylor Jr. | Custodial Care Facility | 8905 Harvey Ln, Port Richey, FL 34668-5212 | 2012-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
| 1881293843 | Inspire Family Home Care LLC. | Custodial Care Facility | 566 Forsyth Creek Ct, Apopka, FL 32712-3318 | 2020-10-21 |
| 1336747658 | Eddrena Thornton | Custodial Care Facility | 2233 Bluebird Ave, Bartow, FL 33830-2953 | 2020-10-09 |
| 1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
| 1568077469 | Titilayo M Dipe | Custodial Care Facility | 11215 Gold Compass St, Gibsonton, FL 33534-5698 | 2020-09-09 |
| 1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
| 1396354395 | Unique Adult Family Care Home Inc. | Custodial Care Facility | 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 | 2020-07-24 |
| 1790301687 | Nancy Isidor | Custodial Care Facility | 1728 Burnham Ct, Clermont, FL 34714-8048 | 2020-06-17 |
| 1326662206 | Yuwaret Haines | Custodial Care Facility | 13566 Rudi Loop, Spring Hill, FL 34609-7964 | 2020-06-05 |
| 1245854686 | Yves Carmen Dorsainvil | Custodial Care Facility | 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | PORT RICHEY |
| Zip Code | 34668 |
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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.