MRS. BERTISHIA LASHANTI MOSLEY (NPI# 1265918874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265918874 |
| Entity Type | Individual |
| Full Name | MRS. BERTISHIA LASHANTI MOSLEY |
| Credential | CNA |
| Practice Address |
2308 Fulton Way Largo FL 33774 |
| Mailing Address |
2308 Fulton Way Largo FL 33774-1517 |
| Practice Telephone | 7275659029 |
| Mailing Telephone | 7275659029 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | FL | Agencies | |
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
FL | Ambulatory Health Care Facilities | |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
FL | Ambulatory Health Care Facilities | |
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022971400 | 05 |
| Street Address |
2308 FULTON WAY |
| City | LARGO |
| State | FL |
| Zip Code | 33774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588220073 | Fulton Home Care Services LLC | Clinic/Center | 2308 Fulton Way, Largo, FL 33774-1517 | 2019-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| 1194855783 | Kathie T Erwin | Counselor | 11633 137 Street North, Largo, FL 33774 | 2007-03-06 |
| Find all providers in zip 33774 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588220073 | Fulton Home Care Services LLC | Clinic/Center | 2308 Fulton Way, Largo, FL 33774-1517 | 2019-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. BERTISHIA LASHANTI MOSLEY.
| 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.