CHERYL DOUGLAS (NPI# 1568718153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568718153 |
| Entity Type | Individual |
| Full Name | CHERYL DOUGLAS |
| Practice Address |
919 Commodore St Lehigh Acres FL 33974-4550 |
| Practice Telephone | 2393034637 |
| Practice Fax Number | 2392449306 |
| Mailing Telephone | 2393034637 |
| Mailing Fax Number | 2392449306 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906497 | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720373640 | Cheryl Denise Douglas | Speech-Language Pathologist | 10438 S Maryland Ave, Chicago, IL 60628-3090 | 2011-06-20 |
| 1417224999 | Cheryl Jean Douglas | Contractor | 110 Main Street, Ambler, AK 99786-0110 | 2011-11-28 |
| 1124131693 | Cheryl Lynn Douglas | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-17 |
| Street Address |
919 COMMODORE ST |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33974-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962907543 | Louvedor B Alexandre | Technician, Other | 1037 Maddock St. E, Lehigh Acres, FL 33974 | 2018-03-27 |
| 1659899565 | Authentic Minds LLC | Respite Care | 718 Baxter Avenue S, Lehigh Acres, FL 33974 | 2017-08-31 |
| 1427421221 | Charmaine Williams | Custodial Care Facility | 420 Putnam Avenue, Lehigh Acres, FL 33974 | 2015-11-03 |
| 1952773640 | Jerome Robert Ebacher | Counselor | 826 Grenada Ave, Lehigh Acres, FL 33974 | 2015-10-21 |
| 1841621067 | Jesus A. Madera | Student in an Organized Health Care Education/Training Program | 1111 Hudson St. E., Lehigh Acres, FL 33974 | 2013-12-13 |
| 1346591062 | Olga Maria Rodriguez-rivera | Case Manager/Care Coordinator | 766 Holmes Ave, Lehigh Acres, FL 33974 | 2012-09-20 |
| 1588939102 | Riva Xylina Bennett | Counselor | 1109 Edelweiss St E, Lehigh Acres, FL 33974-0434 | 2012-03-14 |
| 1962949867 | Galaxy Home Health Care Inc | Home Health | 711 Knox Ave S, Lehigh Acres, FL 33974-0537 | 2017-01-30 |
| 1578535571 | Lehigh Acres Fire Control & Rescue District | Ambulance | 636 Thomas Sherwin Ave S, Lehigh Acres, FL 33974-0555 | 2006-02-03 |
| 1396221305 | Katiana Louis | Behavioral Analyst | 1108 Estate St E, Lehigh Acres, FL 33974-0557 | 2018-07-12 |
| Find all providers in zip 33974 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
| 1609413780 | Francilia Jean-baptiste | Custodial Care Facility | 118 Grant Blvd, Lehigh Acres, FL 33974-9476 | 2019-12-08 |
| 1659745461 | Julianne Eastmond | Custodial Care Facility | 4504 Lee Blvd, Lehigh Acres, FL 33971-1627 | 2015-11-17 |
| 1427421221 | Charmaine Williams | Custodial Care Facility | 420 Putnam Avenue, Lehigh Acres, FL 33974 | 2015-11-03 |
| 1548606692 | M&l Adult Ffamily Care Home | Custodial Care Facility | 4001 8th Street S.w, Lehigh Acres, FL 33976 | 2013-05-16 |
| 1306369012 | Yvette A Sironel | Custodial Care Facility | 2806 42nd St Sw, Lehigh Acres, FL 33976 | 2017-07-25 |
| 1205207222 | Sylotte Pierre | Custodial Care Facility | 510 Lincoln Ave, Lehigh Acres, FL 33972-3935 | 2015-10-16 |
| 1114197571 | Kenzie Kare Group Home | Custodial Care Facility | 919 5th Ave, Lehigh Acres, FL 33972-2921 | 2008-03-01 |
| 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 |
| 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 |
| 1619599628 | Betsy Solano | Custodial Care Facility | 6711 9th Ave N, St Petersburg, FL 33710-6139 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33974 |
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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.