PATRICIA KAGENDO MUTUNGA (NPI# 1063991917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063991917 |
| Entity Type | Individual |
| Full Name | PATRICIA KAGENDO MUTUNGA |
| Practice Address |
2813 Fairmont Dr Panama City FL 32405 |
| Mailing Address |
4508 Tara Ln Panama City FL 32404-4100 |
| Practice Telephone | 5735296285 |
| Mailing Telephone | 5735296285 |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2018-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
2813 FAIRMONT DR |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| 1144678855 | Faith Olivia Woerner | Behavioral Analyst | 4750 Collegiate Dr., Panama City, FL 32405 | 2016-06-03 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767298 | Healthy Group Home Project, LLC. | Day Training, Developmentally Disabled Services | 849 Mulberry Ave, Panama City, FL 32401-2556 | 2020-10-15 |
| 1619588845 | Sandra Greene | Day Training, Developmentally Disabled Services | 6617 Letohatchee St, Panama City, FL 32404-8029 | 2020-08-12 |
| 1053869800 | Rosalind Beckton | Day Training, Developmentally Disabled Services | 712 Kirklin Ave, Panama City, FL 32401-4648 | 2016-09-21 |
| 1114309333 | Second Chance of Northwest Florida | Day Training, Developmentally Disabled Services | 819 E 11th St, Panama City, FL 32401-3459 | 2015-06-24 |
| 1144513243 | Rescare Florida, Inc. | Day Training, Developmentally Disabled Services | 1015 Grace Ave, Ste C, Panama City, FL 32401-2494 | 2011-05-23 |
| 1376701722 | Community-based Options, Inc. | Day Training, Developmentally Disabled Services | 435 W Oak Ave, Panama City, FL 32401-2737 | 2008-05-31 |
| 1316111867 | Rescare Florida, Inc. | Day Training, Developmentally Disabled Services | 2683 Jenks Ave, Panama City, FL 32405-4351 | 2008-04-16 |
| 1326678442 | Sarabia J Tiller | Day Training, Developmentally Disabled Services | 1011 Grace Ave, Panama City, FL 32401-2494 | 2020-01-16 |
| 1285892638 | Cbo In-home, Inc. | Day Training, Developmentally Disabled Services | 435 W Oak Ave, Panama City, FL 32401-2737 | 2008-05-31 |
| 1225183114 | United Cerebral Palsy of N Florida | Day Training, Developmentally Disabled Services | 1241 N East Ave, Panama City, FL 32401-4426 | 2007-01-24 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on PATRICIA KAGENDO MUTUNGA.
| 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.