MD HOME HEALTH, LLC (NPI# 1457593998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457593998 |
| Entity Type | Organization |
| Organization Name | MD HOME HEALTH, LLC |
| Practice Address |
5200 W Newberry Rd Suite #d-9 Gainesville FL 32607-6104 |
| Mailing Address |
5201 Village Blvd Suite B West Palm Beach FL 33407-7908 |
| Practice Telephone | 3523758540 |
| Practice Fax Number | 3523758560 |
| Mailing Telephone | 5616890445 |
| Mailing Fax Number | 5616890415 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | MR. MARIO DARNELL DICKERSON (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 5616890445 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | MD HOME HEALTH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | FL | Agencies |
| Street Address |
5200 W NEWBERRY RD SUITE #D-9 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32607-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982697082 | Mary Anna Hovey | Psychologist | 5200 W Newberry Rd, Ste E2, Gainesville, FL 32607-6104 | 2005-08-24 |
| 1821419375 | Milloy Transport, Inc. | Non-emergency Medical Transport (VAN) | 5200 W Newberry Rd, Suite D9, Gainesville, FL 32607-6104 | 2013-12-31 |
| 1801217815 | T C Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 5200 W Newberry Rd, Ste E7, Gainesville, FL 32607 | 2013-12-17 |
| 1386826667 | Holistic Therapeutics of Gainesville LLC | Clinic/Center | 5200 W Newberry Rd, Gainesville, FL 32607-6104 | 2007-11-29 |
| 1447449665 | Sandie Schoenborn | Physical Therapist | 5200 W Newberry Rd, Suite D-4, Gainesville, FL 32607-6104 | 2007-10-24 |
| 1265626121 | Valerie J Christie-owens | Homeopath | 5200 W Newberry Rd, Suite E-3, Gainesville, FL 32607-6104 | 2007-09-04 |
| 1568597532 | Bren M Hines | Massage Therapist | 5200 W Newberry Rd, Suite E4, Gainesville, FL 32607-6104 | 2007-02-22 |
| 1205944501 | Holistic Therapeutics | Physical Therapist | 5200 W Newberry Rd, Suite D-4, Gainesville, FL 32607-6104 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335917 | Jennifer Jay | Behavioral Analyst | 4020 Sw 21st Rd, Gainesville, FL 32607 | 2019-09-19 |
| 1184186942 | The Birth Center At Cwh | Clinic/Center | 4454 Nw 6th Place, Gainesville, FL 32607 | 2019-04-02 |
| 1356823371 | Wendy Gibbs | Marriage & Family Therapist | 200 Nw 75th Drive, Suite B, Gainesville, FL 32607 | 2018-09-06 |
| 1104314368 | Meghan Bowser | Student in an Organized Health Care Education/Training Program | Academic Health Center Room 408, 1600 Sw Archer Road, Gainesville, FL 32607 | 2018-04-24 |
| 1942707328 | Anne Marie Littell | Student in an Organized Health Care Education/Training Program | 1707 N. Main Street, Gainesville, FL 32607 | 2018-04-11 |
| 1609378173 | Jeremy Markoski | Behavior Technician | 2035 Sw 75th St Suite B, Gainesville, FL 32607 | 2018-03-01 |
| 1013428085 | Adaric Kelly | Student in an Organized Health Care Education/Training Program | 502 Sw 34th St Apt 8, Gainesville, FL 32607 | 2017-10-18 |
| 1215454830 | Whitney Kristine Schaff | Dentist | 6110 Nw 1st Pl, Gainesville, FL 32607 | 2017-08-24 |
| 1316476674 | Jason Amadio | Specialist/Technologist | 1000 Sw 62nd Blvd, Gainesville, FL 32607 | 2017-06-08 |
| 1245784552 | Traci Pettigrew | Acupuncturist | 4001 Newberry Rd A3, Gainesville, FL 32607 | 2016-08-04 |
| Find all providers in zip 32607 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1891395380 | Am Pm Assets, Inc. | Home Health | 971 Lanier Ave, Gainesville, GA 30501-1727 | 2020-10-26 |
| 1013534171 | Lhcg Clxi, LLC | Home Health | 915 Interstate Ridge Dr Ste A1, Gainesville, GA 30501-7076 | 2020-07-06 |
| 1396377008 | Ovation Home Care, LLC | Home Health | 4131 Nw 28th Ln Ste 2, Gainesville, FL 32606-6665 | 2020-02-11 |
| 1689214249 | Hopewell of Alachua County, LLC | Home Health | 1405 Nw 6th St Ste 120, Gainesville, FL 32601-4021 | 2020-01-13 |
| 1316583610 | Southern Home Care Services, Inc. | Home Health | 915 Interstate Ridge Dr Ste A, Gainesville, GA 30501-7076 | 2019-11-21 |
| 1992340806 | Stacey Manning | Home Health | 3751 Sw 20th Ave Apt 151, Gainesville, FL 32607-4331 | 2019-11-14 |
| 1851945885 | Olive Tree Home Care LLC | Home Health | 2606 Nw 6th St Ste 0, Gainesville, FL 32609-2999 | 2019-07-29 |
| 1790337517 | Covenant Home Health Care 3, LLC | Home Health | 239 Sw 7th Ter Ste A, Gainesville, FL 32601-1405 | 2019-07-11 |
| 1114486156 | Nettie's Love & Care LLC | Home Health | 901 Nw 8th Ave Ste A2-r2, Gainesville, FL 32601-5011 | 2019-03-19 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32607 |
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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.