MEMORIAL HOSPITAL FLAGLER INC (NPI# 1134161318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134161318 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL FLAGLER INC |
| Other Organization Name | ADVENTHEALTH HOME CARE EAST FLORIDA |
| Practice Address |
770 W Granada Blvd Ste 319 Ormond Beach FL 32174-5180 |
| Mailing Address |
770 W Granada Blvd Ste 203 Ormond Beach FL 32174-5179 |
| Practice Telephone | 3866733121 |
| Practice Fax Number | 3866776702 |
| Mailing Telephone | 8632314252 |
| Mailing Fax Number | 3862312560 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | MR. CORY DOMAYER (CFO) |
| Authorized Official Telephone | 3865864200 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HOSPITAL FLAGLER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HHA215580961 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD FL | H5M | 01 |
| Other Name | Type Code |
|---|---|
| ADVENTHEALTH HOME CARE EAST FLORIDA | Doing Business As Name - Organization |
| Florida Hospital Memorial Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801990429 | Memorial Hospital Flagler Inc | Hospice, Inpatient | 770 W Granada Blvd Ste 304, Ormond Beach, FL 32174-5180 | 2006-09-12 |
| 1679678486 | Memorial Hospital Flagler Inc | General Acute Care Hospital | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2006-09-14 |
| Street Address |
770 W GRANADA BLVD STE 319 |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-5180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770981250 | Home Health Care of Florida | Home Health | 1360 North Us 1, Suite 103, Ormond Beach, FL 32174 | 2014-12-15 |
| 1114248226 | Nirvana Home Health Care, LLC | Home Health | 141 Sage Brush Trail, Suite E, Ormond Beach, FL 32174-8194 | 2010-06-14 |
| 1285961060 | Dignity Home Health Co | Home Health | 305 N Us Highway 1, Ormond Beach, FL 32174-4505 | 2009-11-16 |
| 1386809838 | Nurturing Care Providers Inc. | Home Health | 249 Woodstock Ct, Ormond Beach, FL 32174-4863 | 2008-07-24 |
| 1780708172 | Bgr Acquisition, LLC | Home Health | 1425 Hand Ave Ste 1a, Ormond Beach, FL 32174-1135 | 2007-03-19 |
| 1750428371 | Misago Home Care, Inc | Home Health | 801 W Granada Blvd, Suite 205, Ormond Beach, FL 32174-8114 | 2007-01-31 |
| 1013081215 | Halifax Health Services, LLC. | Home Health | 1200 W Granada Blvd Ste 4, Ormond Beach, FL 32174-8157 | 2006-11-20 |
| 1346266160 | Arcadia Health Services, Inc. | Home Health | 1124 W Granada Blvd, Ormond Beach, FL 32174-5913 | 2006-07-14 |
| 1508810672 | Tender Loving Care Health Care Services of Florida, LLC | Home Health | 475 S Nova Rd, Ormond Beach, FL 32174-8445 | 2006-05-21 |
| 1033517404 | Concierge Care of Daytona, LLC | Home Health | 1452 N Us Highway 1, Suite 102, Ormond Beach, FL 32174-6638 | 2014-12-16 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
Please comment or provide details below to improve the information on MEMORIAL HOSPITAL FLAGLER INC.
| 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.