FLORRY CREATIVE CARE (NPI# 1528417391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528417391 |
| Entity Type | Organization |
| Organization Name | FLORRY CREATIVE CARE |
| Other Organization Name | TRUDIE'S HAVEN |
| Practice Address |
1404 Holloman Rd Plant City FL 33567-3706 |
| Mailing Address |
Po Box 5636 Plant City FL 33563-0047 |
| Practice Telephone | 8136508242 |
| Practice Fax Number | 8662405666 |
| Mailing Telephone | 8136508242 |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | CHERRY HALLBACK (ADMINISTRATOR) |
| Authorized Official Telephone | 8136508242 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORRY CREATIVE CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | AL12847 | FL | Residential Treatment Facilities |
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL12847 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 692691696 | 05 |
| Other Name | Type Code |
|---|---|
| Trudie's Haven | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760896278 | Florry Creative Care | Home Health | 1001 E Baker St, Suite 401, Plant City, FL 33563-3700 | 2014-06-12 |
| Street Address |
1404 HOLLOMAN RD |
| City | PLANT CITY |
| State | FL |
| Zip Code | 33567-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790109403 | Patty's House 3 LLC | Assisted Living Facility | 110 E Keysville Road, Plant City, FL 33567 | 2014-02-17 |
| 1447378989 | Natalie Dawn Packer | Licensed Practical Nurse | 1609 Bowman Ave, Plant City, FL 33567 | 2007-03-26 |
| 1942372073 | Satishchandra V Dholakia | Urology | 1601 Timerblane Dr., Suite 300, Plant City, FL 33567-0957 | 2006-11-14 |
| 1508413352 | Bettyann Marie Sigl | Technician | 4514 Holloway Creek Dr, Plant City, FL 33567-2061 | 2019-08-26 |
| 1386111334 | Kirstin Richmond | Family Medicine | 3405 Grove Blossom Ln, Plant City, FL 33567-2067 | 2018-10-29 |
| 1053647925 | Care To Go Home Care Corp. | In Home Supportive Care | 3602 Trapnell Ridge Dr, Plant City, FL 33567-2074 | 2009-10-27 |
| 1992360119 | Celeste Mariah Echevarria | Physician Assistant | 3124 Azalea Blossom Dr, Plant City, FL 33567-2105 | 2019-05-02 |
| 1932670239 | Hope Sheldon | Technician | 3709 Crystal Dew St, Plant City, FL 33567-2112 | 2018-12-11 |
| 1215482138 | Afram Servies Inc | Adult Companion | 3114 Magnolia Garden Dr, Plant City, FL 33567-2114 | 2016-08-20 |
| 1902103278 | Tara L. Batchelor | Behavioral Analyst | 7825 Turkey Creek Rd, Plant City, FL 33567-3027 | 2011-02-22 |
| Find all providers in zip 33567 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1003434028 | Carolyn Clanton Alf LLC | Assisted Living Facility | 1146 Hamilton Ave, Jennings, FL 32053-2253 | 2020-07-07 |
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1134764368 | Aum Haven LLC | Assisted Living Facility | 2763 Carmel Ct, Kissimmee, FL 34746-3268 | 2019-11-12 |
| 1275180515 | 1161 Cambridge LLC | Assisted Living Facility | 1161 W 2nd St, Riviera Beach, FL 33404-7627 | 2019-08-21 |
| 1386291623 | Cambridge 13 LLC | Assisted Living Facility | 1560 W 13th St, Riviera Beach, FL 33404-6521 | 2019-08-21 |
| 1851948418 | 3411 Ave Cambridge LLC | Assisted Living Facility | 3411 Avenue H E, Riviera Beach, FL 33404-2101 | 2019-08-19 |
| 1326694308 | W 2nd Cambridge LLC | Assisted Living Facility | 570 W 2nd St, Riviera Beach, FL 33404-7616 | 2019-08-14 |
| 1154976512 | Quality Health Care of Florida.llc | Assisted Living Facility | 1250 Nw 122nd Ave, Plantation, FL 33323-2420 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
| City | PLANT CITY |
| Zip Code | 33567 |
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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.