SHALONDRIA BOSTIC


Address: 1575 52nd Ave N, 3 Years, St Petersburg, FL 33703-2629
Phone: 7275507257

SHALONDRIA BOSTIC (NPI# 1447618640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447618640
Entity Type Individual
Full Name SHALONDRIA BOSTIC
Practice Address 1575 52nd Ave N
3 Years
St Petersburg
FL 33703-2629
Practice Telephone 7275507257
Mailing Telephone 7275507257
Enumeration Date 2016-02-02
Last Update Date 2016-02-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
6906812 FL Nursing & Custodial Care Facilities

Office Location

Street Address 1575 52ND AVE N
3 YEARS
City ST PETERSBURG
State FL
Zip Code 33703-2629

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1376150276 Stephanie Gayle Barnes Rehabilitation Practitioner 610 47th Ave N, St Petersburg, FL 33703 2020-09-25
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1306381363 Dominique Timothee Behavioral Analyst 4301 16th Street N, St Petersburg, FL 33703 2016-12-30
1962849455 Bobbie Vaughn Behavioral Analyst 880 6th St. South, St. Petersburg, FL 33703 2013-05-24
1255672796 Mary Paige Bourbeau Nurse Practitioner 5500 9th St N., St Petersburg, FL 33703 2013-03-07
1437435237 Lynn Bonner-nelson Counselor 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 2011-10-25
1245545953 Patricia Reynolds Speech-Language Pathologist 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 2010-08-18
1326367145 Sigurd T Rutkis Occupational Therapist 3835 1st Street Northeast, St. Petersburg, FL 33703 2010-05-18
1922338136 Christy Carr Mechanotherapist 5560 Kelly Dr N, Saint Petersburg, FL 33703 2010-01-11
1871730317 Ronald H Copenhaver Dmd Pa Dentist 4338 1st Street N, Suite C, St. Petersburg, FL 33703 2009-01-20
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619599628 Betsy Solano Custodial Care Facility 6711 9th Ave N, St Petersburg, FL 33710-6139 2020-05-13
1932675550 Kesler Gerard Custodial Care Facility 2135 68th Ter S, St Petersburg, FL 33712-5820 2018-10-22
1649745399 Katie Haynes Custodial Care Facility 4123 Whiting Dr Se, St Petersburg, FL 33705-4061 2018-10-09
1053779637 Ajra Independent Wealth Builders LLC Custodial Care Facility 3639 Central Ave, St Petersburg, FL 33713-8434 2016-02-10
1952550915 Adult Home Villa, Inc. Custodial Care Facility 4760 8th Ave S, St Petersburg, FL 33711-1810 2008-09-15
1770016701 Maggorie Shores Home LLC Custodial Care Facility 5566 Martin Luther King St S, St Petersburg, FL 33705-5139 2017-04-06
1649638495 Unlimited Compassionate Care Custodial Care Facility 660 3rd Ave S, St Petersburg, FL 33701-4108 2016-02-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801497243 Two Kinds of Hearts 'llc' Custodial Care Facility 1808 Oak Pond Street, Ruskin, FL 33570 2020-11-03
1881293843 Inspire Family Home Care LLC. Custodial Care Facility 566 Forsyth Creek Ct, Apopka, FL 32712-3318 2020-10-21
1336747658 Eddrena Thornton Custodial Care Facility 2233 Bluebird Ave, Bartow, FL 33830-2953 2020-10-09
1689280083 Wendy Del Rosario Toledo Machado Custodial Care Facility 7101 Green St, New Port Richey, FL 34652-1630 2020-09-21
1568077469 Titilayo M Dipe Custodial Care Facility 11215 Gold Compass St, Gibsonton, FL 33534-5698 2020-09-09
1124630892 Moselene Belizaire Custodial Care Facility 3411 9th St W, Lehigh Acres, FL 33971-5357 2020-08-23
1396354395 Unique Adult Family Care Home Inc. Custodial Care Facility 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 2020-07-24
1790301687 Nancy Isidor Custodial Care Facility 1728 Burnham Ct, Clermont, FL 34714-8048 2020-06-17
1326662206 Yuwaret Haines Custodial Care Facility 13566 Rudi Loop, Spring Hill, FL 34609-7964 2020-06-05
1245854686 Yves Carmen Dorsainvil Custodial Care Facility 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 2020-06-01
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Competitor

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City ST PETERSBURG
Zip Code 33703

Improve Information

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Dataset Information

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.

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