JOHN ARCHER LLC (NPI# 1063054377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063054377 |
| Entity Type | Organization |
| Organization Name | JOHN ARCHER LLC |
| Practice Address |
2013 River Basin Ter Punta Gorda FL 33982-1106 |
| Practice Telephone | 7152051449 |
| Mailing Telephone | 7152051449 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | JOHN RAYMOND ARCHER (CEO) |
| Authorized Official Telephone | 7152051449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 102889500 | 05 |
| Other Name | Type Code |
|---|---|
| River Basin Foster Home | Doing Business As Name - Organization |
| Street Address |
2013 RIVER BASIN TER |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33982-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437600160 | We Care In-home Services, Inc. | Home Health | 46990 Bermont Rd, Punta Gorda, FL 33982 | 2016-10-18 |
| 1790089035 | Catherine C Paradiso | Nurse Practitioner | 26601 Airport Rd, Punta Gorda, FL 33982 | 2010-12-30 |
| 1710193248 | Peter James Lallone | Pharmacist | 27680 Bermont Rd., Punta Gorda, FL 33982 | 2007-05-14 |
| 1700912698 | Niraj D Banjara | Pharmacist | 27680 Bermont Road, Punta Gorda, FL 33982 | 2007-02-26 |
| 1598848053 | Bruce D Macdonald | Radiology | 36261 Washington Loop Rd., Punta Gorda, FL 33982 | 2006-10-20 |
| 1104923614 | Diagnostic Mobile X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 28100 Challenger Blvd, Suite 112, Punta Gorda, FL 33982 | 2006-09-19 |
| 1205857679 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 27680 Bermont Rd, Punta Gorda, FL 33982 | 2006-07-21 |
| 1902909203 | Karen Lee Cantz | Pharmacy Technician | 27680 Bermont Rd, Punta Gorda, FL 33982 | 2006-09-06 |
| 1922561091 | Melissa Dieter | Physician Assistant | 29412 Taralane Dr, Punta Gorda, FL 33982-1209 | 2019-04-07 |
| 1841308046 | Christine Sue Smith | Nurse Practitioner | 29199 Livingston Dr, Punta Gorda, FL 33982-1212 | 2006-08-28 |
| Find all providers in zip 33982 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871020198 | Terri Ufko | Clinic/Center | 512 Burland St, Punta Gorda, FL 33950-5606 | 2017-05-17 |
| 1518414994 | Kristen Cuellar | Clinic/Center | 2428 Nuremberg Blvd, Punta Gorda, FL 33983-2609 | 2016-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33982 |
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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.