KIMBERLY INEZ ADAMS (NPI# 1053704981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053704981 |
| Entity Type | Individual |
| Full Name | KIMBERLY INEZ ADAMS |
| Practice Address |
4681 Mandolin Loop Winter Haven FL 33884-3599 |
| Practice Telephone | 8632421743 |
| Mailing Telephone | 8632421743 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2018-11-28 |
| 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 |
|---|---|---|---|---|
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1306499983 | Kimberly Adams | Counselor | 2000 N Linden St Apt N230, Normal, IL 61761-5384 | 2019-07-22 |
| 1679069306 | Kimberly S Adams | Massage Therapist | 3060 Dayton Xenia Rd Ste C, Beavercreek, OH 45434-6393 | 2018-07-05 |
| 1053821553 | Kimberly Brooke Adams | Nurse Practitioner | 3131 Bagley Ave Apt 7, Los Angeles, CA 90034-2931 | 2017-10-10 |
| 1114323847 | Kimberly Adams | Social Worker | 4568 W Main Rd, Fredonia, NY 14063-2223 | 2014-11-06 |
| 1831432921 | Kimberly Sue Adams | Speech-Language Pathologist | 103 N 18th St, Mayfield, KY 42066-1301 | 2013-03-27 |
| 1417292418 | Kimberly Adams | Rehabilitation Practitioner | 1063 Garden Cress Ct, Las Vegas, NV 89138-4510 | 2012-12-01 |
| 1548511892 | Kimberly Michele Adams | Marriage & Family Therapist | 5305 Parkmor Rd Apt 15, Calabasas, CA 91302-1091 | 2012-09-26 |
| 1427320381 | Kimberly Marie Adams | Registered Nurse | 800 West Ave N Lot 198, West Salem, WI 54669-1044 | 2012-02-07 |
| 1558502674 | Kimberly Ellen Adams | Registered Nurse | 112 Wilkin Dr, Longmeadow, MA 01106-2036 | 2009-03-19 |
| Street Address |
4681 MANDOLIN LOOP |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33884-3599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956480 | Kristin Helen Kiddy | Occupational Therapy Assistant | 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 | 2020-03-06 |
| 1871990143 | William Santo | Specialist/Technologist | 9269 Kliber Dr., Winter Haven, FL 33884 | 2014-12-02 |
| 1346656345 | Integrative Physical Medicine of Winter Haven LLC | Specialist | 7494 Cypress Gardens Blvd, Winter Haven, FL 33884 | 2014-07-10 |
| 1568808921 | Donald Lurton Arey Jr. | Surgery | 800 Island Way, Winter Haven, FL 33884 | 2013-05-13 |
| 1407195324 | Shena R. Ranon | Nurse Practitioner | 1820 Woodpointe Dr, Winter Haven, FL 33884 | 2013-02-13 |
| 1952654543 | Mpn Medical Center of Dundee | Family Medicine | 1023 Dundee Road, Winter Haven, FL 33884 | 2012-10-19 |
| 1588941736 | Cody Gernatt | Occupational Therapist | 1120 Cypress Gardens Blvd., Winter Haven, FL 33884 | 2011-11-15 |
| 1851611677 | Paulene T Jasurek | Pharmacist | 4454 Cypress Gardens Rd, Winter Haven, FL 33884 | 2010-06-03 |
| 1306169867 | John David Butters | Speech-Language Pathologist | 208 Escambia Dr., Winter Haven, FL 33884 | 2010-03-11 |
| 1710162813 | Humphrey Chiropractic Center, P.a. | Chiropractor | 605 Overlook Drive, Suite 1, Winter Haven, FL 33884 | 2008-01-08 |
| Find all providers in zip 33884 | ||||
| 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 |
|---|---|---|---|---|
| 1730621590 | None At This Time | Custodial Care Facility | 725 Crestwood Dr, Winter Haven, FL 33881-2919 | 2016-11-10 |
| 1831552785 | Linda Edler | Custodial Care Facility | 132 Madera Dr, Winter Haven, FL 33880-5678 | 2016-03-29 |
| 1326410515 | Franteria N Hall | Custodial Care Facility | 5871 Windridge Dr, Winter Haven, FL 33881-8793 | 2015-10-27 |
| 1316288475 | Guardian Adult Home Care | Custodial Care Facility | 439 Avenue D Se, Winter Haven, FL 33880-3531 | 2013-03-13 |
| 1740684554 | Gena Obry | Custodial Care Facility | 439 Avenue D Se, Winter Haven, FL 33880-3531 | 2014-10-22 |
| 1023410545 | Gena Obry | Custodial Care Facility | 439 Avenue D Se, Winter Haven, FL 33880-3531 | 2014-09-17 |
| 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 | WINTER HAVEN |
| Zip Code | 33884 |
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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.