MELANIE DAVIS WEATHERSPOON (NPI# 1124463112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124463112 |
| Entity Type | Individual |
| Full Name | MELANIE DAVIS WEATHERSPOON |
| Practice Address |
1714 52nd Ter Sw Naples FL 34116-5652 |
| Practice Telephone | 2393526629 |
| Practice Fax Number | 2394557757 |
| Mailing Telephone | 2393526629 |
| Mailing Fax Number | 2394557757 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |
| 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 |
004211600 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004211600 | 05 |
| Street Address |
1714 52ND TER SW |
| City | NAPLES |
| State | FL |
| Zip Code | 34116-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211682 | Grace Adult Family Care Home | Custodial Care Facility | 1714 52nd Ter Sw, Naples, FL 34116-5652 | 2016-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058455 | Angela Maria Eastman | Pharmacist | 4849 Golden Gate Parkway, Naples, FL 34116 | 2020-09-23 |
| 1841828167 | Annie Sanabria | Specialist/Technologist | 2117 Sunshine Blvd Apt A, Naples, FL 34116 | 2020-03-31 |
| 1487142519 | Yandra Teresa Alvarez I | Nursing Care | 4696 Golden Gate Pkwy., Apt:a, Naples, FL 34116 | 2018-04-24 |
| 1861933251 | Vivian Reyes Carmenate | Behavior Technician | 4425 19th Pl Sw, Naples, FL 34116 | 2017-03-17 |
| 1992108419 | Nery Cardenas | Social Worker | 11725 Collier Blvd Suite A-2, Naples, FL 34116 | 2014-09-29 |
| 1437459559 | Gifford Chiropractic & Neurodiagnostic Center, Pa | Chiropractor | 4930 Golden Gate Pkwy., Naples, FL 34116 | 2010-10-22 |
| 1194047704 | Jose Francisco Baldoquin | Pharmacist | Kmart 4955 Golden Gate Parkway, Naples, FL 34116 | 2010-02-23 |
| 1851627798 | Victor Antonio Delgado | Massage Therapist | 5321 27th Ave Sw, Naples, FL 34116 | 2009-10-28 |
| 1225362692 | Santa Barbara Pain and Injury Rehab LLC | Chiropractor | 2006 Santa Babara Blvd, Naples, FL 34116 | 2009-10-01 |
| 1336397462 | Julio Cesar Dejardens | General Practice | 5580 19th Ct. Sw Unit 2, Naples, FL 34116 | 2008-09-03 |
| Find all providers in zip 34116 | ||||
| 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 |
|---|---|---|---|---|
| 1457765323 | Mirta Roca | Custodial Care Facility | 5364 18th Ct Sw, Naples, FL 34116-5626 | 2014-06-18 |
| 1184061343 | Alvan St Aubyn Coke | Custodial Care Facility | 3620 64th Ave Ne, Naples, FL 34120-2618 | 2013-05-29 |
| 1497191308 | Adult Family Care Home | Custodial Care Facility | 4490 20th St Ne, Naples, FL 34120-0479 | 2013-05-17 |
| 1598211682 | Grace Adult Family Care Home | Custodial Care Facility | 1714 52nd Ter Sw, Naples, FL 34116-5652 | 2016-08-29 |
| 1770920191 | Aniece Thermidor | Custodial Care Facility | 4490 20th St Ne, Naples, FL 34120-0479 | 2013-05-24 |
| 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 | ||||
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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.