FRONT PORCH NURSE REGISTRY LLC (NPI# 1063019693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063019693 |
Entity Type | Organization |
Organization Name | FRONT PORCH NURSE REGISTRY LLC |
Practice Address |
1680 Sw Bayshore Blvd Ste 112 Port St Lucie FL 34984-3518 |
Mailing Address |
Po Box 882012 Port St Lucie FL 34988-2012 |
Practice Telephone | 9546559682 |
Enumeration Date | 2020-10-06 |
Last Update Date | 2020-10-06 |
Authorized Official Name | DARLENE DESSOURCES (ADMINISTRATOR) |
Authorized Official Telephone | 9545669682 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251J00000X | Nursing Care | Agencies | ||
N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers |
Street Address |
1680 SW BAYSHORE BLVD STE 112 |
City | PORT ST LUCIE |
State | FL |
Zip Code | 34984-3518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700426053 | Alyssa Raudebaugh-jackson | Behavior Technician | 247 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2020-01-14 |
1033680830 | Aaron Schamback, Dmd, Pa | Dentist | 155 Sw Port Saint Lucie Blvd, Suite #101, Port Saint Lucie, FL 34984 | 2018-12-06 |
1407343361 | St. Lucie Hope Gardens LLC | Assisted Living Facility | 337 Sw Grimaldo Teraace, Port Saint Lucie, FL 34984 | 2018-04-17 |
1205353091 | Rachelle Renae Tetreault | Acupuncturist | 451 S.e. Thanksgiiving Avenue, Port St. Lucie, FL 34984 | 2017-08-23 |
1598141913 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 710 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2015-08-07 |
1518201136 | Kerline Dimanche | Physical Therapy Assistant | 461 Se Lancaster Aveune, Port Saint Lucie, FL 34984 | 2012-11-20 |
1063776979 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 208 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2012-06-26 |
1851655849 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 | 2012-06-25 |
1003179003 | Judith Wray | Pharmacist | 281 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2012-06-25 |
1285925446 | Cindy Leahy | Specialist | 2181 Sw Bayshore Blvd, Port St Lucie, FL 34984 | 2011-04-22 |
Find all providers in zip 34984 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750782637 | Top Choice Private Care LLC | Registered Nurse | 8000 S Federal Hwy Ste 303, Port St Lucie, FL 34952-2339 | 2014-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821697350 | Karen Y Barahona | Registered Nurse | 3059 Barry Rd, North Port, FL 34286-9006 | 2020-10-26 |
1942809066 | Welcome Group Home LLC | Registered Nurse | 8616 White Cay, West Palm Beach, FL 33411-5545 | 2020-10-20 |
1508465725 | Mahanaim Home Care | Registered Nurse | 2750 N 29th Ave Ste 218b, Hollywood, FL 33020-1521 | 2020-10-19 |
1033717236 | Tansha Fuller | Registered Nurse | 8606 N 10th St, Tampa, FL 33604-1712 | 2020-10-12 |
1902419187 | Superior Choice Physicians Inc | Registered Nurse | 600 Bypass Dr Ste 115, Clearwater, FL 33764-5030 | 2020-08-26 |
1457960809 | Trumed Home Health Services LLC | Registered Nurse | 1064 W Highway 50 Ste 210, Clermont, FL 34711-2835 | 2020-07-30 |
1285243162 | Robine Duprena | Registered Nurse | 2933 W Cypress Creek Rd Ste 201e, Ft Lauderdale, FL 33309-1760 | 2020-07-27 |
1598373250 | Naomi David Julmus | Registered Nurse | 26 Sw 21st Pl, Cape Coral, FL 33991-1346 | 2020-07-20 |
1164030235 | Grandpa Home Health, LLC | Registered Nurse | 3044 S Military Trl Ste J, Lake Worth, FL 33463-2112 | 2020-07-15 |
1457979494 | Ilianna Polatos-quintero | Registered Nurse | 17902 Nw 81st Ct, Hialeah, FL 33015-2847 | 2020-07-07 |
Find all providers with the same taxonomy |
City | PORT ST LUCIE |
Zip Code | 34984 |
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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.