ALICIA FENNELL (NPI# 1104197151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104197151 |
| Entity Type | Individual |
| Full Name | ALICIA FENNELL |
| Practice Address |
1120 W Donegan Ave Kissimmee FL 34741-2247 |
| Mailing Address |
534 Eagle Ct Kissimmee FL 34759-4442 |
| Practice Telephone | 4078472854 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | OTA 11659 | FL | Nursing & Custodial Care Facilities |
| Street Address |
1120 W DONEGAN AVE |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427003763 | Kissimmee Health Care Associates LLC | Skilled Nursing Facility | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2006-05-24 |
| 1043844822 | Monic Boddy | Physical Therapy Assistant | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2020-03-02 |
| 1619520913 | Allison Schnautz | Speech-Language Pathologist | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2019-07-17 |
| 1972031136 | Sandra Fay Griffiths | Occupational Therapy Assistant | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2017-05-31 |
| 1922550029 | Robert Velasco | Physical Therapy Assistant | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2016-10-25 |
| 1154789980 | Lidia Mccowan | Occupational Therapy Assistant | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2016-02-08 |
| 1548643851 | Anthony Cole Thompson | Occupational Therapist | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2015-07-06 |
| 1033591862 | Gensis Rehab Services | Skilled Nursing Facility | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2015-06-29 |
| 1316362726 | Emily Yu | Physical Therapist | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2014-02-21 |
| 1215363411 | Elizabeth Hubbs | Speech-Language Pathologist | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2013-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
| 1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
| 1033230131 | Rejouis Refuge, Inc. | Skilled Nursing Facility | 3504 Warbler Way, Kissimmee, FL 34746-2000 | 2007-04-03 |
| 1144260951 | Op Kissimmee, Inc. | Skilled Nursing Facility | 2511 N John Young Pkwy, Kissimmee, FL 34741-1653 | 2006-06-08 |
| 1427003763 | Kissimmee Health Care Associates LLC | Skilled Nursing Facility | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2006-05-24 |
| 1033193008 | Osceola Kissimmee Limited Partnership | Skilled Nursing Facility | 221 Park Place Blvd, Kissimmee, FL 34741-2345 | 2005-12-02 |
| 1972595809 | Delta Health Group Inc | Skilled Nursing Facility | 320 Mitchell St, Kissimmee, FL 34741-4447 | 2005-08-17 |
| 1548788433 | Kissimmee Opco LLC | Skilled Nursing Facility | 221 Park Place Blvd, Kissimmee, FL 34741-2345 | 2017-08-31 |
| 1033591862 | Gensis Rehab Services | Skilled Nursing Facility | 1120 W Donegan Ave, Kissimmee, FL 34741-2247 | 2015-06-29 |
| 1801223888 | Terrace of Kissimmee LLC | Skilled Nursing Facility | 221 Park Place Blvd, Kissimmee, FL 34741-2345 | 2013-10-04 |
| Find all providers in KISSIMMEE | ||||
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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.