GREATER VISION FAMILY CARE HOME


Address: 4991 Timber Ridge Trl, Ocoee, FL 34761-8427
Phone: 4074617762

GREATER VISION FAMILY CARE HOME (NPI# 1124479746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124479746
Entity Type Organization
Organization Name GREATER VISION FAMILY CARE HOME
Practice Address 4991 Timber Ridge Trl
Ocoee
FL 34761-8427
Mailing Address Po Box 918
Ocoee
FL 34761-0918
Practice Telephone 4074617762
Practice Fax Number 4076142420
Mailing Telephone 4074617762
Mailing Fax Number 4076142420
Enumeration Date 2016-06-24
Last Update Date 2016-06-24
Authorized Official Name CHEVON STALLWORTH (CEO)
Authorized Official Telephone 4074617762
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 310400000X Assisted Living Facility FL Nursing & Custodial Care Facilities
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities FL Residential Treatment Facilities
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
FL Nursing & Custodial Care Facilities

Office Location

Street Address 4991 TIMBER RIDGE TRL
City OCOEE
State FL
Zip Code 34761-8427

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1386209575 Chantal Monde Nurse Practitioner 1000 W Colonial Drive, Ocoee, FL 34761 2019-05-03
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427419878 Silver Bend Care Custodial Care Facility 2653 Alclobe Cir, Ocoee, FL 34761-8972 2016-03-14
1396082590 Florida Golden Adult Care Custodial Care Facility 1686 Rachels Ridge Loop, Ocoee, FL 34761-9000 2013-01-08
1194204743 Chrisline Milard Custodial Care Facility 2653 Alclobe Cir, Ocoee, FL 34761 2018-08-13
1144624099 Fl Golden Adult Care LLC Custodial Care Facility 1686 Rachels Ridge Loop, Ocoee, FL 34761-9000 2014-10-21

Providers in the same taxonomy and state

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
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Competitor

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City OCOEE
Zip Code 34761

Improve Information

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Dataset Information

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.

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