MS. TANGELY MAXWELL (NPI# 1306320767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306320767 |
| Entity Type | Individual |
| Full Name | MS. TANGELY MAXWELL |
| Credential | COMMUNITY BASED |
| Practice Address |
13 Monroe Creek Dr Midway FL 32343-2212 |
| Practice Telephone | 8505706551 |
| Mailing Telephone | 8505706551 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021165900 | 05 |
| Street Address |
13 MONROE CREEK DR |
| City | MIDWAY |
| State | FL |
| Zip Code | 32343-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417442690 | Erika Rochelle Raines | Speech-Language Pathologist | 67 Sand Pine Cir, Midway, FL 32343 | 2018-06-28 |
| 1982007472 | Myishia Reid | Case Manager/Care Coordinator | 324 Mine Road, Midway, FL 32343 | 2014-09-29 |
| 1306194725 | Wenona Allen | Marriage & Family Therapist | 1724 Mlk Blvd, 1724 Mlk, Midway, FL 32343 | 2012-08-15 |
| 1548402134 | Helping Hands of North Florida, Inc. | Community/Behavioral Health | 187 Williams Road, Midway, FL 32343 | 2009-03-30 |
| 1417199795 | Verda Owens | Counselor | 187 Williams Road, Midway, FL 32343 | 2009-04-01 |
| 1679708564 | Christa Nelson | In Home Supportive Care | 277 Knights Road, Midway, FL 32343-0292 | 2009-05-20 |
| 1063812568 | Elegant Care, LLC | In Home Supportive Care | 1603 Rustling Pines Blvd, Midway, FL 32343-2218 | 2014-09-03 |
| 1720576440 | New Mercys Care LLC | Assisted Living Facility | 1458 Rustling Pines Blvd, Midway, FL 32343-2239 | 2018-04-27 |
| 1255798013 | Cynthia Sharette Brooks | Nurse's Aide | 33870 Blue Star Hwy Apt 706, Midway, FL 32343-2433 | 2016-01-25 |
| 1740423656 | Sukati Lee Miller | Home Health | 33870 Blue Star Hwy Apt 903, Midway, FL 32343-2433 | 2009-04-08 |
| Find all providers in zip 32343 | ||||
| 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 |
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| 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 | ||||
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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.