J&J SHINE CORP (NPI# 1386004745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386004745 |
| Entity Type | Organization |
| Organization Name | J&J SHINE CORP |
| Practice Address |
8051 N. Tamiami Trail Suite E2, Box 37 Sarasota FL 34243 |
| Practice Telephone | 9418228174 |
| Practice Fax Number | 9418228174 |
| Mailing Telephone | (941) 822-8174 |
| Mailing Fax Number | 9418228174 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2017-07-06 |
| Authorized Official Name | JANELL STALLWORTH (PRESIDENT) |
| Authorized Official Telephone | 9418228174 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MH12905 | FL | Agencies |
| Street Address |
8051 N. TAMIAMI TRAIL SUITE E2, BOX 37 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759667 | Justin M. Lampert | Counselor | 2280 Trailmate Drive, Suite 101, Sarasota, FL 34243 | 2020-01-11 |
| 1851879217 | Jesse Lebaron | Dermatology | 8451 Shade Ave Ste 205, Sarasota, FL 34243 | 2018-07-29 |
| 1053839514 | Leslie Schulman | Audiologist | 5837 Carriage Drive, Sarasota, FL 34243 | 2017-09-05 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1023482288 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3315 University Pkwy, 103, Sarasota, FL 34243 | 2015-11-25 |
| 1346626009 | Cora Health Services Inc. | Clinic/Center | 6150 North Lockwood Ridge, Sarasota, FL 34243 | 2015-08-05 |
| 1851682462 | Timothy Clifton Prichard | Speech-Language Pathologist | 5770 Timber Lake Dr, Sarasota, FL 34243 | 2011-04-29 |
| 1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
| 1104051978 | Hillstrom Facial Plastic Surgery Pa | Otolaryngology | 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 | 2009-05-22 |
| 1366684979 | Tina A. Rigsby Prousalis | Nurse Practitioner | 701 Tallevast Rd., Sun Hydrolics, Sarasota, FL 34243 | 2009-03-27 |
| Find all providers in zip 34243 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992296198 | Pediatric Aba 8 Inc | Community/Behavioral Health | 1924 S Osprey Ave Ste H, Sarasota, FL 34239-3621 | 2018-05-23 |
| 1235671421 | Project D.a.l.e. Inc. | Community/Behavioral Health | 1661 Ringling Blvd, #2631, Sarasota, FL 34230-7000 | 2016-11-06 |
| 1881149482 | Forty Carrots Family Center | Community/Behavioral Health | 1426 S Tuttle Ave, Sarasota, FL 34239-2605 | 2016-08-24 |
| 1558732024 | Coastal Behavioral Health Care | Community/Behavioral Health | 6039 Benevento Dr, Sarasota, FL 34238-2883 | 2015-10-09 |
| 1336541911 | National Mental Healthcare, Florida Mentor | Community/Behavioral Health | 2055 Wood St Ste 118, Sarasota, FL 34237-7928 | 2014-09-25 |
| 1396156741 | Heart To Heart Counseling LLC | Community/Behavioral Health | 7735 Holiday Dr, Sarasota, FL 34231-5313 | 2014-05-19 |
| 1487096038 | Metro Treatment of Florida, Lp | Community/Behavioral Health | 323 Interstate Blvd, Sarasota, FL 34240-8409 | 2013-07-24 |
| 1750652426 | Maps Sarasota-satellite | Community/Behavioral Health | 6124 S Tamiami Trl, Sarasota, FL 34231-4029 | 2012-01-26 |
| 1649564022 | Geo Healthcare, Inc. | Community/Behavioral Health | 7409 Fairlinks Ct, Sarasota, FL 34243-3848 | 2011-06-03 |
| 1457542359 | Mental Health Community Centers, Inc. | Community/Behavioral Health | 240b S Tuttle Ave, Sarasota, FL 34237-6334 | 2007-08-06 |
| Find all providers in SARASOTA | ||||
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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.