JESSICA LAVON PETE (NPI# 1043517816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043517816 |
| Entity Type | Individual |
| Full Name | JESSICA LAVON PETE |
| Practice Address |
4750 Nw 157 Street Reddick FL 32686 |
| Practice Telephone | 3524251393 |
| Mailing Telephone | 3524251393 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |
| 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 |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376099143 | Jessica Pete | Pharmacist | 2818 Barb Ln, Lake Charles, LA 70607-7645 | 2016-08-31 |
| Street Address |
4750 NW 157 STREET |
| City | REDDICK |
| State | FL |
| Zip Code | 32686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093361990 | Jessica Hilda Terrell | Respite Care | 11600 Nw 140th Pl, Reddick, FL 32686 | 2019-08-15 |
| 1821643214 | Consandia A Grier | Adult Companion | 15211 Nw 29th Ter, Reddick, FL 32686 | 2019-08-03 |
| 1255677498 | Jahema Enterprise Inc | Pharmacy | 15320 Nw Gainesville Road, Reddick, FL 32686 | 2012-12-17 |
| 1356418503 | Goodluck Pharmacy Inc | Pharmacy | 15320 Nw Gainesville Rd, Reddick, FL 32686 | 2006-11-30 |
| 1275755563 | R T Sherlock Company | Acupuncturist | 8511 Nw 186th St, Reddick, FL 32686-2216 | 2007-05-03 |
| 1740576578 | Osric S Brewer | Pharmacist | 9601 W Highway 318, Reddick, FL 32686-2220 | 2011-06-20 |
| 1861720948 | Ivan Scott Marden | Registered Nurse | 19030 Nw 60th Ave, Reddick, FL 32686-2312 | 2009-11-30 |
| 1508978867 | North Florida Assessment and Counseling Inc | Counselor | 16718 N Highway 329, Reddick, FL 32686-3049 | 2006-08-31 |
| 1275081275 | Emily Elizabeth Redick | Social Worker | 16718 N Highway 329, Reddick, FL 32686-3049 | 2016-09-19 |
| 1528471711 | Shalom Healthcare Services LLC | Community/Behavioral Health | 15590 N Highway 329, Reddick, FL 32686-3053 | 2014-06-05 |
| Find all providers in zip 32686 | ||||
| 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 |
|---|---|---|---|---|
| 1891221321 | Tonya Johnson | Custodial Care Facility | 15260 Nw 29th Ter, Reddick, FL 32686-3332 | 2017-05-03 |
| 1790213627 | Tonya Alicia Johnson | Custodial Care Facility | 15260 Nw 29th Ter, Reddick, FL 32686-3332 | 2017-05-23 |
| 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 | ||||
Please comment or provide details below to improve the information on JESSICA LAVON PETE.
| 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.