FULLY ALIVE HOMECARE LLC (NPI# 1174160493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174160493 |
| Entity Type | Organization |
| Organization Name | FULLY ALIVE HOMECARE LLC |
| Practice Address |
1780 Standing Rock Cir Winter Garden FL 34787-8116 |
| Practice Telephone | 4079600672 |
| Mailing Telephone | 4079600672 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | MRS. SUSAN MELISA VASQUEZ (DON/ ADMINISTRATOR) |
| Authorized Official Telephone | 4079789826 |
| Authorized Official Credential | RN BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1780 STANDING ROCK CIR |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-8116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| 1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
| 1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| Find all providers in zip 34787 | ||||
| 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 |
|---|---|---|---|---|
| 1922625722 | A Plus Health Careers | Home Health | 14469 Breakwater Way, Winter Garden, FL 34787-5264 | 2020-06-29 |
| 1568013126 | Home Pharm L.l.c | Home Health | 410 N Dillard St Ste 102, Winter Garden, FL 34787-2853 | 2019-09-25 |
| 1659812303 | E.m.c.a.b.s. Agency, LLC | Home Health | 16000 Ollivett St, Winter Garden, FL 34787-9695 | 2017-03-14 |
| 1790228088 | Idalen Homecare Services Inc | Home Health | 213 Meljane Dr, Winter Garden, FL 34787 | 2016-11-18 |
| 1104252683 | Wodi Group Inc | Home Health | 922 Home Grove Dr, Winter Garden, FL 34787-6512 | 2013-09-17 |
| 1326327412 | Amerivita Home Care Inc. | Home Health | 13340 W Colonial Dr, Suite 240, Winter Garden, FL 34787-3916 | 2011-08-08 |
| 1346488624 | Mrm Enterprises, Inc. | Home Health | 410 N Dillard St, Suite 102, Winter Garden, FL 34787-2853 | 2009-01-26 |
| 1659537348 | Age Advantage Home Care Services | Home Health | 525 W Plant St, Winter Garden, FL 34787-3069 | 2008-08-01 |
| 1528301256 | Boomerang Home Services | Home Health | 525 W Plant St, Suite A, Winter Garden, FL 34787-3069 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649252 | The Bla Conglomeration LLC | Home Health | 560 Village Blvd Ste 120, West Palm Beach, FL 33409-1963 | 2020-11-06 |
| 1003417932 | Allcare Home Health LLC | Home Health | 2200 N Commerce Pkwy Ste 255, Weston, FL 33326-3258 | 2020-11-06 |
| 1396346383 | Happy At Home Healthcare, Inc. | Home Health | 1104 S Powerline Rd Ste 8, Pompano Beach, FL 33069-4310 | 2020-11-05 |
| 1740881986 | Healing Hands Home Health | Home Health | 6611 Us Highway 19 Ste 204, New Port Richey, FL 34652-1732 | 2020-11-04 |
| 1215538848 | Tender Care Med Group Corp | Home Health | 373 E 1st Ave, Hialeah, FL 33010-4807 | 2020-11-02 |
| 1447850185 | Latoya Butler | Home Health | 5710 Lenox Ave Apt 121, Jacksonville, FL 32205-6383 | 2020-10-30 |
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1588264519 | Kendra Renea Chambers | Home Health | 78 Sims Rd, Quincy, FL 32352-6431 | 2020-10-28 |
| 1366041899 | Tri-city Adult Day Care, Inc. | Home Health | 827 Vanderbilt Dr, Eustis, FL 32726-5251 | 2020-10-26 |
| 1841899333 | All In Homecare LLC | Home Health | 150 3rd St Sw Ste 205, Winter Haven, FL 33880-2907 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
Please comment or provide details below to improve the information on FULLY ALIVE HOMECARE LLC.
| 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.