ELIZABETH ANN MARIE TAYLOR (NPI# 1205242864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205242864 |
| Entity Type | Organization |
| Organization Name | ELIZABETH ANN MARIE TAYLOR |
| Other Organization Name | ELIZABETH ANN MARIE TAYLOR |
| Practice Address |
1474 Meadowbrook Rd Ne Palm Bay FL 32905-5007 |
| Practice Telephone | 9123732779 |
| Mailing Telephone | 9123732779 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-08 |
| Authorized Official Name | MS. ELIZABETH ANN MARIE TAYLOR (OWNER) |
| Authorized Official Telephone | 3213732187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906692 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Elizabeth Ann Marie Taylor | Doing Business As Name - Organization |
| Street Address |
1474 MEADOWBROOK RD NE |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| 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 |
|---|---|---|---|---|
| 1487118584 | Marie Hamid | Custodial Care Facility | 136 Deauville Ave Ne, Palm Bay, FL 32907-3031 | 2019-01-23 |
| 1487122248 | Lakenya Jacobs | Custodial Care Facility | 937 Commerce Rd Se, Palm Bay, FL 32909-4732 | 2018-11-08 |
| 1215426598 | Cheryl C Liburd | Custodial Care Facility | 898 Fairhaven St Ne, Palm Bay, FL 32907-3270 | 2018-05-02 |
| 1396282489 | No Better Place | Custodial Care Facility | 840 Damask St Ne, Palm Bay, FL 32905-5711 | 2017-01-26 |
| 1366895195 | Lewis Adult Family Care Home | Custodial Care Facility | 149 Hagerstown St Sw, Palm Bay, FL 32908-7631 | 2016-07-17 |
| 1205243607 | Inez Gwendolyn Freeman, Robert Lee Freeman | Custodial Care Facility | 1771 Halfmoon St Nw, Palm Bay, FL 32907-9220 | 2014-07-17 |
| 1992116149 | Evena Jean Charles | Custodial Care Facility | 1551 Dozier Cir Se, Palm Bay, FL 32909-6535 | 2014-05-09 |
| 1073944906 | Kalaisha Brown | Custodial Care Facility | 861 Gena Rd Sw, Palm Bay, FL 32908-1739 | 2013-12-03 |
| 1528495868 | Joycie M Johnson | Custodial Care Facility | 2698 Hester Ave Se, Same, Palm Bay, FL 32909-7607 | 2013-10-01 |
| 1871836908 | Adult Family Home Care, Inc. | Custodial Care Facility | 2052 Syracuse Ct Ne, Palm Bay, FL 32905-3923 | 2013-03-27 |
| Find all providers in PALM BAY | ||||
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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.