ANGEL R SLOAN (NPI# 1417122003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417122003 |
| Entity Type | Individual |
| Full Name | ANGEL R SLOAN |
| Practice Address |
2689 Sundance Cir Mulberry FL 33860-6549 |
| Practice Telephone | 8637090044 |
| Practice Fax Number | 8637090044 |
| Mailing Telephone | 8637090044 |
| Mailing Fax Number | 8637090044 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 253J00000X | Foster Care Agency | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 230004400 | 05 |
| Street Address |
2689 SUNDANCE CIR |
| City | MULBERRY |
| State | FL |
| Zip Code | 33860-6549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280414 | Marilyn Renee Hobdy | Case Manager/Care Coordinator | 2155 Pump Rd, Mulberry, FL 33860 | 2017-08-11 |
| 1467902353 | Healthstat Onsite Clinic Mosaic South Pierce | Preventive Medicine | 7450 Hwy 630, Mulberry, FL 33860 | 2016-10-04 |
| 1356740757 | Healthstat Onsite Clinic- Mosaic Mulberry | Preventive Medicine | 3095 Highway 640 West, Mulberry, FL 33860 | 2014-08-21 |
| 1154746899 | Central Florida Health Care, Inc. | Clinic/Center | 106 Nw 9th Avenue, Mulberry, FL 33860 | 2014-03-04 |
| 1114056108 | Abhaykumar Sobhagchand Shah | Pharmacist | 6745 North Curch Ave, Mulberry, FL 33860 | 2007-03-05 |
| 1174134845 | Mulberry Ltc Pharmacy, LLC | Pharmacy | 1011 N Church Ave, Mulberry, FL 33860 | 2020-08-14 |
| 1609112408 | Margarette Lespinasse | Nurse Practitioner | 106 Nw 9th Ave, Mulberry, FL 33860 | 2012-12-26 |
| 1437141686 | Salazar Family Health Care, Inc | Family Medicine | 708 N Church Ave, Mulberry, FL 33860-2034 | 2005-08-15 |
| 1811357775 | Sandra George | Nurse Practitioner | 708 N Church Ave, Mulberry, FL 33860-2034 | 2016-03-03 |
| 1417588625 | Mulberry Food and Pharmacy LLC | Pharmacy | 806 N Church Ave, Mulberry, FL 33860-2036 | 2020-01-28 |
| Find all providers in zip 33860 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962974386 | Suzanne Marie Gilley | Technician | 4621 Harts Brook Ln, Mulberry, FL 33860-7921 | 2018-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232967 | Amanda Darnell O'berry | Technician | 6531 Berryhill Rd, Milton, FL 32570-6822 | 2020-10-14 |
| 1598363590 | Bergeline Lexis | Technician | 8836 Viking Ln, Lakeland, FL 33809-1751 | 2020-10-12 |
| 1629685201 | Lynda Wilkes Dekold | Technician | 4110 Sw 63rd Blvd, Gainesville, FL 32608-3924 | 2020-09-28 |
| 1134736952 | Robin Lynn Knight | Technician | 1125 Anolas Way, Lutz, FL 33548-2902 | 2020-09-25 |
| 1689289969 | Golden Life Senior Services LLC | Technician | 2595 Sanford Ave, Sanford, FL 32773-4606 | 2020-09-13 |
| 1760096945 | Hermina Cyntje | Technician | 13060 Waterbourne Dr, Gibsonton, FL 33534-3908 | 2020-09-03 |
| 1154933273 | Erica Petithomme | Technician | 3935 Ne 22nd Ave, Cape Coral, FL 33909-3282 | 2020-08-19 |
| 1063021889 | Stacey Wilcox | Technician | 1447 Nw Wayne Pl Apt 105, Lake City, FL 32055-6107 | 2020-07-28 |
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1689290264 | Amanda Michelle White | Technician | 938 Geary St Sw, Palm Bay, FL 32908-4206 | 2020-06-19 |
| 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.