ALPHONZA BERNARD BUSH JR. (NPI# 1376173450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376173450 |
| Entity Type | Individual |
| Full Name | ALPHONZA BERNARD BUSH JR. |
| Practice Address |
51 Childrens Way Enterprise FL 32725-8135 |
| Practice Telephone | 3866684774 |
| Mailing Telephone | 3866684774 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
51 CHILDRENS WAY |
| City | ENTERPRISE |
| State | FL |
| Zip Code | 32725-8135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932194073 | Diahann Suchan | Marriage & Family Therapist | 51 Childrens Way, Enterprise, FL 32725-8135 | 2005-09-14 |
| 1982237483 | Florida United Methodist Childrens Home, Inc. | Case Management | 51 Childrens Way, Enterprise, FL 32725-8135 | 2020-02-13 |
| 1780244152 | Debra Suto-henry | Social Worker | 51 Childrens Way, Enterprise, FL 32725-8135 | 2019-06-18 |
| 1700244837 | Kimberly Bethea | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2016-02-03 |
| 1578943890 | Cynthia Laughrun | Registered Nurse | 51 Childrens Way, Enterprise, FL 32725-8135 | 2015-06-02 |
| 1215337704 | Kisha Ann Alvarez | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2014-09-03 |
| 1629493291 | Kaylee Kathryn Vance | Counselor | 51 Childrens Way, Enterprise, FL 32725 | 2014-02-19 |
| 1902240864 | Stacey Dietrich | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2013-04-23 |
| 1124371752 | Anita M. Tulloch | Marriage & Family Therapist | 51 Childrens Way, Enterprise, FL 32725 | 2012-10-19 |
| 1699023739 | Florida United Methodist Children's Home | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2012-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
| 1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
| 1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
| 1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
| 1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
| 1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| Find all providers in zip 32725 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1295297794 | Kindra Dawn Peterson | Case Manager/Care Coordinator | 700 Walter Street Sp. 21, Enterprise, OR 97828 | 2019-04-03 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1568063931 | Andrea Rene Mitchell | Case Manager/Care Coordinator | 103 Highway 82, Enterprise, OR 97828-6011 | 2020-11-03 |
| 1043839053 | William C Weisz | Case Manager/Care Coordinator | 301 W Main St, Enterprise, OR 97828-1245 | 2020-04-09 |
| 1285261149 | Kimberly Kay Botts | Case Manager/Care Coordinator | 103 Highway 82, Enterprise, OR 97828-6011 | 2020-03-23 |
| 1467006668 | Wallowa Valley Center for Wellness | Case Manager/Care Coordinator | 301 W Main St, Enterprise, OR 97828-1245 | 2019-07-26 |
| 1922651132 | Elizabeth A Casebourn | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-17 |
| 1255983243 | Kate Forster | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-10 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 32725 |
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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.