JEAN MAXINE WILLIAMS (NPI# 1336581669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336581669 |
| Entity Type | Individual |
| Full Name | JEAN MAXINE WILLIAMS |
| Practice Address |
7108 S Shamrock Rd Tampa FL 33616-2135 |
| Practice Telephone | 8138316795 |
| Mailing Telephone | 8138316795 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 141491700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801290044 | Jean Marie Williams | Licensed Practical Nurse | 22 Ocean Ave, Center Moriches, NY 11934-3614 | 2014-10-17 |
| 1417173949 | Jean Williams | Social Worker | 2640 Loganrita Ave, Arcadia, CA 91006-5027 | 2007-04-17 |
| 1508404195 | Jean Bell Williams | Counselor | 7310 S Westmoreland Rd, Dallas, TX 75237-2998 | 2019-12-15 |
| 1083113385 | Jean Williams | Dental Hygienist | 2700 Baker St, Muskegon Heights, MI 49444-2157 | 2018-02-02 |
| 1114152063 | Jean Williams | Nurse Practitioner | 5533 W Hillsdale Ave, Suite C, Visalia, CA 93291-5138 | 2009-05-21 |
| 1295881001 | Jean E. Williams | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2007-01-25 |
| 1508914672 | Jean Esther Williams | Counselor | 6 Crafts Ave, Northampton, MA 01060-3479 | 2007-01-08 |
| 1891882718 | Jean R Williams | Dentist | 116 Walter Remley Dr, Crawfordsville, IN 47933-3350 | 2006-10-10 |
| 1205887106 | Jean M Williams | Emergency Medicine | 1150 Varnum St Ne, Ne, Washington, DC 20017-2104 | 2006-05-15 |
| Street Address |
7108 S SHAMROCK RD |
| City | TAMPA |
| State | FL |
| Zip Code | 33616-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089557 | Shaun Corey Gamse | Nurse Practitioner | 5903 S Coolidge Ave, Tampa, FL 33616 | 2020-03-26 |
| 1942712799 | Rosalind Mckever | Case Manager/Care Coordinator | 7305 South Kissimmee Street, Tampa, FL 33616 | 2017-11-02 |
| 1740680156 | Kelsey Marie Klein | Developmental Therapist | 6301 S. Westhore Blvd. Apt. 424, Tampa, FL 33616 | 2014-09-04 |
| 1063981447 | Erik Tyler Borgstrom | Registered Nurse | 4427 W Leila Ave, Tampa, FL 33616-1007 | 2018-11-15 |
| 1912400169 | Kelsey Christian | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2018-03-14 |
| 1902430358 | Joanna Ortiz | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2020-02-25 |
| 1528692084 | Susan Lee Mekler | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2020-02-24 |
| 1972006138 | Andrea Giraldo | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2018-03-14 |
| 1588167746 | Mandy Chan | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2018-03-14 |
| 1538662705 | Gregory Eric Champlin | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2018-03-14 |
| Find all providers in zip 33616 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669025698 | Marcson Erdain | Custodial Care Facility | 2313 W Arch St, Tampa, FL 33607-5303 | 2019-07-18 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1437636024 | Tonia Hammond | Custodial Care Facility | 3819 Beechwood Blvd, Tampa, FL 33619-1224 | 2018-07-26 |
| 1295275360 | Myrta Cruz Rivera | Custodial Care Facility | 11008 N 52nd St, Tampa, FL 33617-2804 | 2017-03-08 |
| 1821532243 | Lawanza Llanos | Custodial Care Facility | 1911 E 143rd Ave, Tampa, FL 33613-2536 | 2016-12-05 |
| 1629526074 | Eakens Group Home | Custodial Care Facility | 8402 Rio Bravo Ct, 3, Tampa, FL 33617-7083 | 2016-09-14 |
| 1083072789 | Diane's Speial Home Care, Inc | Custodial Care Facility | 8206 Pennywell Pl, Tampa, FL 33615-1625 | 2016-02-09 |
| 1689030330 | Katherine Tillman | Custodial Care Facility | 8119 N Mulberry St, Tampa, FL 33604-3443 | 2016-01-11 |
| 1801269022 | Turning Pages LLC | Custodial Care Facility | 2931 Banza St, Tampa, FL 33605-2769 | 2015-11-10 |
| 1891170460 | Claudette Johnson | Custodial Care Facility | 4617 Hidden Shaddow Dt, Tampa, FL 33614 | 2015-07-24 |
| Find all providers in TAMPA | ||||
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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.