LISA WAVES OF CARE (NPI# 1487199147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487199147 |
| Entity Type | Organization |
| Organization Name | LISA WAVES OF CARE |
| Practice Address |
3403 Avenue J Fort Pierce FL 34947-2341 |
| Practice Telephone | 7723327625 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | LISA MCCUTCHEN (PRESIDENT) |
| Authorized Official Telephone | 7723327625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
3403 AVENUE J |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34947-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831641182 | Lisa Mccutchen | Community Health Worker | 3403 Avenue J, Fort Pierce, FL 34947-2341 | 2016-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| 1811391345 | Shaikh International Medicine, LLC | Internal Medicine | 2504 Acorn St, Suite A, Ft Pierce, FL 34947 | 2014-10-13 |
| 1851728083 | Home Sweet Home of The Treasurwe Coast, Inc. | Assisted Living Facility | 3201 Avenue Q, Fort Pierce, FL 34947 | 2013-10-02 |
| 1831488469 | Gayle Freeman Jones | In Home Supportive Care | 3414 Sloan Rd, Fort Pierce, FL 34947 | 2011-04-05 |
| 1134370927 | Chelsea Lauren Pepera | Licensed Practical Nurse | 1816 South 31st Street, Fort Pierce, FL 34947 | 2008-10-10 |
| 1790971364 | Orion Cardiovascular, IIi | Clinic/Center | 1803 S 25th Street, Ste 1, Ft. Pierce, FL 34947 | 2007-09-18 |
| 1659441236 | Diagnostic Radiology Center of The Treasure Coast | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1689786774 | Ajay Kumar Goyal | Radiology | 2011 S 25th St, Suite 106, Fort Pierce, FL 34947 | 2006-08-31 |
| 1649340258 | Ajay K Goyal Md Pa | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| Find all providers in zip 34947 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947834 | Changing Strides Community Services Inc | Clinic/Center | 130 S Indian River Dr Ste 242, Fort Pierce, FL 34950-4353 | 2020-09-19 |
| 1982220695 | Peace of Mind Homecare Solutions of The Palm Beaches LLC | Clinic/Center | 412 Se Faith Ter, Fort Pierce, FL 34983-3242 | 2020-06-18 |
| 1720623051 | Nikeshas Loving Touch Inc | Clinic/Center | 1800 Oleander Blvd, Fort Pierce, FL 34950-8157 | 2019-11-11 |
| 1265083232 | Leona M. Kelly | Clinic/Center | 710 N 20th St Apt A, Fort Pierce, FL 34950-6105 | 2019-09-21 |
| 1134602691 | Christy Woods | Clinic/Center | 3209 Hibiscus Ave, Fort Pierce, FL 34947-7240 | 2018-09-11 |
| 1518449206 | Care One Support LLC | Clinic/Center | 2609 Navajo Ave, Fort Pierce, FL 34946-1729 | 2018-08-30 |
| 1285128488 | A and R Non Emergency Medical Transportation Service LLC | Clinic/Center | 2140 N Us Highway 1, Fort Pierce, FL 34946-8993 | 2018-06-20 |
| 1740770528 | Empowering Supportive Care Inc | Clinic/Center | 2620 S 29th St Apt B, Fort Pierce, FL 34981-5592 | 2018-05-16 |
| 1063920882 | Gayleann King | Clinic/Center | 2901 Avenue D, Fort Pierce, FL 34947-2663 | 2018-01-15 |
| 1285147207 | A Caring Alternative Healthcare Inc | Clinic/Center | 2134 N Us Highway 1, Fort Pierce, FL 34946-8993 | 2017-11-13 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34947 |
Please comment or provide details below to improve the information on LISA WAVES OF CARE.
| 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.