CANDICE JOHNSON (NPI# 1356904791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356904791 |
| Entity Type | Individual |
| Full Name | CANDICE JOHNSON |
| Practice Address |
51 S Phillips St Lake Wales FL 33853-4449 |
| Practice Telephone | 8632801574 |
| Mailing Telephone | 8632801574 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700219060 | Candice Johnson | Licensed Practical Nurse | 2 Adams St, Mount Vernon, NY 10550-3504 | 2013-08-09 |
| 1669098190 | Candice Michelle Johnson | Social Worker | 3323 Shattuck Rd Ste 1, Saginaw, MI 48603-3184 | 2020-06-20 |
| 1831641901 | Candice Johnson | Student in an Organized Health Care Education/Training Program | 13000 Bruce B Downs Blvd, Building 68, Office 243, Tampa, FL 33612-4745 | 2016-10-25 |
| 1699172874 | Candice Johnson | Student in an Organized Health Care Education/Training Program | 506 W Jackman St, Lancaster, CA 93534-2531 | 2014-12-03 |
| 1255687992 | Candice Ryesha Johnson | Nurse's Aide | 206 Legion Ave, Lewisburg, TN 37091-2898 | 2012-07-31 |
| 1295941003 | Candice Rae Johnson | Dentist | 5512 E Britton Dr, Suite 208, Long Beach, CA 90815-3146 | 2007-05-16 |
| 1053479014 | Candice Brown Johnson | Dentist | 1829 Darby Dr Ste A, Florence, AL 35630-2622 | 2006-12-04 |
| 1861577595 | Candice Johnson | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-25 |
| Street Address |
51 S PHILLIPS ST |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33853-4449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470422 | Caring Compassionate Care.llc | Clinic/Center | 51 S Phillips St, Lake Wales, FL 33853-4449 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218998 | Marcel Fundora | Dentist | 701 Fl-60, Lake Wales, FL 33853 | 2020-06-04 |
| 1386291599 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1255 Florida 60, Suite 300, Lake Wales, FL 33853 | 2019-08-22 |
| 1932753472 | Adeline Brooke Warren | Occupational Therapist | 512 S 11th Street, Lake Wales, FL 33853 | 2019-08-01 |
| 1033563580 | Amber Y Shepard | Family Medicine | 1255 Highway 60 E Ste 500, Lake Wales, FL 33853 | 2016-04-21 |
| 1174982458 | Ledesha Marie Dorothy Maduro | Dentist | 24185 Us Hwy 27 North, Lake Wales, FL 33853 | 2016-02-16 |
| 1528402435 | Buck Andreu Scott | Surgery | 407 S 11th St, Lake Wales, FL 33853 | 2013-04-22 |
| 1447598321 | Central Florida Health Care, Inc. | Dentist | 305 West Central Avenue, Lake Wales, FL 33853 | 2013-01-28 |
| 1972864932 | Kevin T Barlow, Pa. Dba: Winter Haven Audiology and Ridge Audiology. | Clinic/Center | 704 Sr 60 East, Lake Wales, FL 33853 | 2012-06-06 |
| 1316266364 | Elba M Lopez | Massage Therapist | 318 S. First Street, Lake Wales, FL 33853 | 2010-05-28 |
| 1063657955 | Lake Wales Medical Imaging Center One, Inc | Technician, Health Information | 1255 Highway 60 East 110, Lake Wales, FL 33853 | 2008-12-08 |
| Find all providers in zip 33853 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831723659 | Aim In Care Companion Care LLC | In Home Supportive Care | 431 E Tillman Ave, Lake Wales, FL 33853-3801 | 2020-03-02 |
| 1356906085 | Yashekia D'wan Atmore | In Home Supportive Care | 105 N Lakeshore Dr, Lake Wales, FL 33859-8740 | 2019-05-08 |
| 1396205209 | Santelia Barnes | In Home Supportive Care | 2306 Linda St, Lake Wales, FL 33898-6401 | 2019-03-25 |
| 1053870352 | Jacqueline Reddick | In Home Supportive Care | 116 W Northside Dr, Lake Wales, FL 33853-3018 | 2019-03-16 |
| 1659991180 | Never Left Alone Concierge Services, Inc. | In Home Supportive Care | 10 W Grove Ave, Lake Wales, FL 33853-4516 | 2020-04-24 |
| 1992357412 | Heart To Heart Group, LLC | In Home Supportive Care | 105 N Lakeshore Dr, Lake Wales, FL 33859-8740 | 2019-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487477 | Benevolent Home Care Solutions, LLC | In Home Supportive Care | 303 N Charles Willis Dr, Midway, FL 32343-4294 | 2020-11-08 |
| 1396346045 | Alea Home Services Corp | In Home Supportive Care | 10300 Sw 72nd St Ste 261a, Miami, FL 33173-3014 | 2020-11-07 |
| 1124629134 | Shameka Ashawn Raines | In Home Supportive Care | 111 N Bay St, Port St Joe, FL 32456-1431 | 2020-11-05 |
| 1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
| 1487254199 | Ahhc Services, LLC | In Home Supportive Care | 2650 Ne 57th St, Ft Lauderdale, FL 33308-2709 | 2020-10-30 |
| 1821698648 | Evolution Home Care LLC | In Home Supportive Care | 7401 Wiles Rd Ste 214, Coral Springs, FL 33067-2038 | 2020-10-30 |
| 1790385334 | Care One, LLC | In Home Supportive Care | 15399 Ne 6th Ave Apt 401, Miami, FL 33162-5076 | 2020-10-30 |
| 1861092801 | Laundry Cleaner Corp | In Home Supportive Care | 7050 Nw 2nd Ave, Miami, FL 33150-4008 | 2020-10-29 |
| 1295334258 | Petagaye A Porter | In Home Supportive Care | 1627 Burnham St, Orlando, FL 32808-6011 | 2020-10-21 |
| 1942809918 | Angel Heart Homemaker and Companion Care Services LLC | In Home Supportive Care | 1423 Se 16th Pl Ste 203, Cape Coral, FL 33990-3891 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33853 |
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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.