CONQUEST CLINICS LLC (NPI# 1265863765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265863765 |
Entity Type | Organization |
Organization Name | CONQUEST CLINICS LLC |
Practice Address |
1408 N Piedmont Way Tallahassee FL 32308-7974 |
Practice Telephone | 7276926197 |
Mailing Telephone | 7276926197 |
Enumeration Date | 2013-12-09 |
Last Update Date | 2013-12-10 |
Authorized Official Name | JACOB VANLANDINGHAM (FOUNDER) |
Authorized Official Telephone | 8505442962 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Street Address |
1408 N PIEDMONT WAY |
City | TALLAHASSEE |
State | FL |
Zip Code | 32308-7974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093822876 | Heather Lee Bradley | Clinical Neuropsychologist | 1408 N Piedmont Way, Tallahassee, FL 32308-7974 | 2006-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
Find all providers in zip 32308 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801311345 | Kingdom Therapy Services LLC | Clinic/Center | 4434 Gearhart Rd Apt 2901, Tallahassee, FL 32303-2499 | 2017-08-05 |
1124408992 | Premier Health Clinic & Rehabilitation Center of Tallahassee | Clinic/Center | 2820 Remington Green Cir, Tallahassee, FL 32308-1547 | 2015-06-05 |
1194021857 | Healthy Solutions, Inc. | Clinic/Center | 521 E College Ave, Tallahassee, FL 32301-2528 | 2011-01-28 |
1588620355 | Regional Therapy Services Inc | Clinic/Center | 2410 W Plaza Dr, Tallahassee, FL 32308-5325 | 2006-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598365496 | Cora Health Services, Inc. | Clinic/Center | 794 Blanding Blvd, Orange Park, FL 32065-5721 | 2020-10-29 |
1508466707 | A1a Physical Therapy, LLC | Clinic/Center | 8 Ocean Trace Rd, Saint Augustine, FL 32080-6972 | 2020-10-27 |
1891394078 | Rehabclinics Pta, Inc. | Clinic/Center | 12543 Miramar Pkwy, Miramar, FL 33027-2909 | 2020-10-20 |
1952918369 | Bayit Therapy LLC | Clinic/Center | 4699 N Federal Hwy Ste 101g, Pompano Beach, FL 33064-6510 | 2020-09-29 |
1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
1275147043 | Sensei Medical Center Inc | Clinic/Center | 6500 W 4th Ave Ste 31, Hialeah, FL 33012-6606 | 2020-08-31 |
1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
1649806787 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 111 N County Highway 393 Ste 201, Santa Rosa Beach, FL 32459-5366 | 2020-03-20 |
1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
Find all providers with the same taxonomy |
City | TALLAHASSEE |
Zip Code | 32308 |
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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.