FLORIDA DEPARTMENT OF VETERANS AFFAIRS (NPI# 1518959667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518959667 |
| Entity Type | Organization |
| Organization Name | FLORIDA DEPARTMENT OF VETERANS AFFAIRS |
| Other Organization Name | CLIFFORD CHESTER SIMS STATE VETERANS NURSING HOME |
| Practice Address |
4419 Tram Rd Panama City FL 32404-2559 |
| Practice Telephone | 8507475401 |
| Practice Fax Number | 8507475301 |
| Mailing Telephone | 8507475401 |
| Mailing Fax Number | 8507475301 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM G PUCKETT (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7275183202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 311500000X | Alzheimer Center (Dementia Center) | FL | Nursing & Custodial Care Facilities | |
| X | 314000000X | Skilled Nursing Facility | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Clifford Chester Sims State Veterans Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912215583 | Florida Department of Veterans Affairs | Skilled Nursing Facility | 4650 State Road 16, Saint Augustine, FL 32092-0600 | 2010-09-17 |
| 1174515654 | Florida Department of Veterans Affairs | Skilled Nursing Facility | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2005-08-19 |
| 1629060272 | Florida Department of Veterans Affairs | Alzheimer Center (Dementia Center) | 21281 Grayton Ter, Port Charlotte, FL 33954-3109 | 2005-08-19 |
| 1316939804 | Florida Department of Veterans Affairs | Skilled Nursing Facility | 6919 Parkway Blvd, Land O Lakes, FL 34639-2909 | 2005-08-19 |
| 1962494518 | Florida Department of Veterans Affairs | Assisted Living Facility | 751 Se Sycamore Ter, Lake City, FL 32025-6216 | 2005-08-19 |
| 1417949579 | Florida Department of Veterans Affairs | Alzheimer Center (Dementia Center) | 8401 W Cypress Dr, Pembroke Pines, FL 33025-4540 | 2005-08-16 |
| Street Address |
4419 TRAM RD |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32404-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760967459 | Heather Adrienne Henderson | Speech-Language Pathologist | 4419 Tram Rd, Panama City, FL 32404-2559 | 2018-09-27 |
| 1114477676 | Sabrina Gamig | Occupational Therapist | 4419 Tram Rd, Panama City, FL 32404-2559 | 2016-10-09 |
| 1932563863 | Michelle Sosa | Speech-Language Pathologist | 4419 Tram Rd, Panama City, FL 32404-2559 | 2016-04-06 |
| 1720243702 | Claude Randall Fridley | Physician Assistant | 4419 Tram Rd, Panama City, FL 32404-2559 | 2008-07-19 |
| 1124211818 | Elizabeth Ann Herndon | Speech-Language Pathologist | 4419 Tram Rd, Panama City, FL 32404-2559 | 2007-08-25 |
| 1548289143 | Mary Jeanette Syfrett | Pharmacist | 4419 Tram Rd, Panama City, FL 32404-2559 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278854 | Wayne Harris | Non-emergency Medical Transport (VAN) | 4826 Mccall Ln, Panama City, FL 32404 | 2014-05-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1114288651 | Carly D Taulbee | Physical Therapy Assistant | 626 S Tyndall Pkwy, Panama City, FL 32404 | 2012-05-31 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1760695431 | Corey J Seymour | Military Health Care Provider | 4837 Mccall Ln, Panama City, FL 32404 | 2007-05-08 |
| 1336361625 | Vicky Perkins Whitfield | Pharmacist | 3621 Us Hwy 231 N., Panama City, FL 32404 | 2007-05-03 |
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1184782906 | Shelley Isenberg Hickman | Occupational Therapist | 5441 Nehi Rd, Panama City, FL 32404 | 2006-12-05 |
| 1629151931 | Kenneth Michael Plumley | Physician Assistant | 5620 Cherry St, Callaway, FL 32404 | 2006-10-23 |
| Find all providers in zip 32404 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174994032 | Monica Davila Arnp-c | Alzheimer Center (Dementia Center) | 2340 Cincinnati Ave, Panama City, FL 32405 | 2015-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527744 | Somh Boca Raton Operating, LLC | Alzheimer Center (Dementia Center) | 21865 Ponderosa Dr, Boca Raton, FL 33428-6215 | 2020-11-01 |
| 1417556978 | Mh Gentry Park Al Operating, LLC | Alzheimer Center (Dementia Center) | 3201 Center Pointe Dr, Orlando, FL 32825-6323 | 2020-10-25 |
| 1144876327 | Immaculate Adult Day Care LLC | Alzheimer Center (Dementia Center) | 234 Willard St Ste A, Cocoa, FL 32922-7984 | 2019-08-14 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1689152910 | American Eagle Leesburg Mc LLC | Alzheimer Center (Dementia Center) | 710 S Lake St, Leesburg, FL 34748-7327 | 2018-07-30 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1861917171 | Memory Lane Cottage At Oviedo, LLC | Alzheimer Center (Dementia Center) | 450 Oviedo Blvd, Oviedo, FL 32765-3508 | 2017-08-08 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1831640697 | Senior Living Iv Sun City, LLC | Alzheimer Center (Dementia Center) | 1320 33rd St Se, Ruskin, FL 33573-4904 | 2016-10-17 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32404 |
Please comment or provide details below to improve the information on FLORIDA DEPARTMENT OF VETERANS AFFAIRS.
| 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.