EASTER SEALS SOUTH FLORIDA, INC. (NPI# 1295348159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295348159 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS SOUTH FLORIDA, INC. |
| Other Organization Name | EASTER SEALS SOUTH FLORIDA HOME HEALTH AGENCY-BROWARD |
| Practice Address |
301 Nw 103rd Ave Pembroke Pines FL 33026-6010 |
| Mailing Address |
1475 Nw 14 Ave. Miami FL 33125 |
| Practice Telephone | 9544506855 |
| Mailing Telephone | 3053250470 |
| Mailing Fax Number | 3053250578 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | NICOLE ALVERANGA BARHAM (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 3055474745 |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTER SEALS SOUTH FLORIDA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| EASTER SEALS SOUTH FLORIDA HOME HEALTH AGENCY-BROWARD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872971 | Easter Seals South Florida, Inc. | Home Health | 1475 Nw 14 Ave, Miami, FL 33125 | 2020-08-18 |
| 1598163362 | Easter Seals South Florida, Inc. | Clinic/Center | 301 Nw 103rd Ave, Pembroke Pines, FL 33026-6010 | 2014-12-10 |
| 1972080299 | Easter Seals South Florida, Inc. | Clinic/Center | 1475 Nw 14th Ave, Miami, FL 33125-1692 | 2018-07-20 |
| 1396123121 | Easter Seals South Florida, Inc. | Clinic/Center | 489 Hialeah Dr, Hialeah, FL 33010-5320 | 2015-05-13 |
| 1992103675 | Easter Seals South Florida, Inc. | Clinic/Center | 1475 Nw 14th Ave, Miami, FL 33125-1616 | 2014-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTER SEALS SOUTH FLORIDA, INC. | 1475 Nw 14th Ave, Miami, FL 33125-1616 |
| Street Address |
301 NW 103RD AVE |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598163362 | Easter Seals South Florida, Inc. | Clinic/Center | 301 Nw 103rd Ave, Pembroke Pines, FL 33026-6010 | 2014-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| 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 |
|---|---|---|---|---|
| 1235745001 | Healing Hands Home Health Inc. | Home Health | 15800 Pines Blvd Ste 322, Pembroke Pines, FL 33027-1212 | 2020-09-17 |
| 1154931533 | Ojiwe Gentlecare of S. Fl LLC. | Home Health | 8401 Nw 3rd St, Pembroke Pines, FL 33024-6659 | 2020-07-31 |
| 1386261899 | Aleyda L Chavez | Home Health | 16262 Nw 8th Dr, Pembroke Pines, FL 33028-1107 | 2020-06-30 |
| 1518503812 | Lakisha Hills Williams | Home Health | 951 Sw 88th Way, Pembroke Pines, FL 33025-1448 | 2019-11-21 |
| 1700448602 | Whole Life Distributors | Home Health | 1055 Nw 187th Ave, Pembroke Pines, FL 33029-2913 | 2019-07-01 |
| 1801360821 | Yaminah Sejour | Home Health | 551 Nw 135th Ave Apt 101, Pembroke Pines, FL 33028-2246 | 2019-01-12 |
| 1710453428 | Optimized Home Care Services | Home Health | 631 Sw 64th Pkwy, Pembroke Pines, FL 33023-1529 | 2018-10-19 |
| 1356829105 | 5th Generation Inc D/b/a Acti-kare Responsive In-home Care | Home Health | 9050 Pines Blvd Ste 415-409, Pembroke Pines, FL 33024-6455 | 2018-08-03 |
| 1083101018 | Guasipati Inc. | Home Health | 7661 Pines Blvd, Pembroke Pines, FL 33024-6912 | 2018-04-16 |
| 1932608148 | Living Loving Laughing Home LLC | Home Health | 1000 Nw 83rd Way, Pembroke Pines, FL 33024-4932 | 2018-02-03 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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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.