MS. GANIELLE MARVA PETERSON (NPI# 1285241489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285241489 |
Entity Type | Individual |
Full Name | MS. GANIELLE MARVA PETERSON |
Credential | ASSISTED LIVING ADMN |
Practice Address |
2773 Se Clareton Ter Port St Lucie FL 34952-6621 |
Practice Telephone | 9546571812 |
Mailing Telephone | 9546571812 |
Enumeration Date | 2020-09-30 |
Last Update Date | 2020-09-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 376G00000X | Nursing Home Administrator | FL | Nursing Service Related Providers |
Street Address |
2773 SE CLARETON TER |
City | PORT ST LUCIE |
State | FL |
Zip Code | 34952-6621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
Find all providers in zip 34952 |
Taxonomy Code | 376G00000X |
Grouping | Nursing Service Related Providers |
Classification | Nursing Home Administrator |
An individual, often licensed by the state, who is responsible for the management of a nursing home. |
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093284903 | New Day Assisted Living, LLC | Nursing Home Administrator | 1931 Sw Mcallister Ln, Port St Lucie, FL 34953-2064 | 2018-11-20 |
1184807547 | Cheryl Morgan | Nursing Home Administrator | 482 Sw Todd Ave, Port St Lucie, FL 34983-2914 | 2007-12-08 |
1619588357 | Germine Lormera | Nursing Home Administrator | 1613 Sw Meridian Ave, Port St Lucie, FL 34953-4300 | 2020-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326652231 | Emma Grace Homes LLC | Nursing Home Administrator | 600 Jefferis Ct, Eustis, FL 32726-5114 | 2020-09-08 |
1629692736 | Michele M Gavin | Nursing Home Administrator | 3450 Kaiser Ave, Saint Cloud, FL 34772-7311 | 2020-06-04 |
1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
1073147914 | Kemisha Latoya Mathis | Nursing Home Administrator | 2279 W 2nd St, Jacksonville, FL 32209-6906 | 2020-03-01 |
1174030589 | Olivia Marcia Batchelor | Nursing Home Administrator | 1904 Gardner Ave, Lehigh Acres, FL 33936-5344 | 2018-01-08 |
1699212399 | Ursula Schmiel-degama | Nursing Home Administrator | 11900 Nw 35th St, Sunrise, FL 33323-1242 | 2017-01-19 |
1578915070 | Luz Medy Lebron Monclova | Nursing Home Administrator | 5681 Edenfield Rd, Apt. 1005, Jacksonville, FL 32277-1469 | 2016-07-07 |
1992157689 | Marie Louis | Nursing Home Administrator | 19 Burning Wick Pl, Palm Coast, FL 32137-8802 | 2016-07-06 |
1326467374 | Beverly Campbell | Nursing Home Administrator | 2808 S 10th St, Fort Pierce, FL 34982-4306 | 2014-04-07 |
1255777199 | Vanessa Dugan | Nursing Home Administrator | 800 Lakewood Cir, Merritt Island, FL 32952-5886 | 2013-05-20 |
Find all providers with the same taxonomy |
City | PORT ST LUCIE |
Zip Code | 34952 |
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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.