BREVARD ALZHEIMER'S FOUNDATION, INC. (NPI# 1568887917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568887917 |
| Entity Type | Organization |
| Organization Name | BREVARD ALZHEIMER'S FOUNDATION, INC. |
| Other Organization Name | JOE'S CLUB |
| Practice Address |
4676 N Wickham Rd Melbourne FL 32935-7103 |
| Practice Telephone | 2532534430 |
| Mailing Telephone | 2532534430 |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |
| Authorized Official Name | MR. CHRISTOPHER M. STAGMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3212534430 |
| Is Organization Subpart | Y |
| Parent Organization Name | BREVARD ALZHEIMER'S FOUNDATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 8856 | FL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 6760597000 | 05 |
| Other Name | Type Code |
|---|---|
| Joe's Club | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174795454 | Brevard Alzheimer's Foundation, Inc. | Health Maintenance Organization | 4676 N Wickham Rd, Melbourne, FL 32935-7103 | 2008-03-27 |
| Street Address |
4676 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174795454 | Brevard Alzheimer's Foundation, Inc. | Health Maintenance Organization | 4676 N Wickham Rd, Melbourne, FL 32935-7103 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366910523 | Stellar Transport | Non-emergency Medical Transport (VAN) | 1501 Pine St, Melbourne, FL 32901-3120 | 2018-11-06 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1619406055 | George Andrew Ricardo | Non-emergency Medical Transport (VAN) | 3270 Suntree Blvd, #103c, Melbourne, FL 32940 | 2017-06-08 |
| 1396135828 | Silver Stagecoach, LLC | Non-emergency Medical Transport (VAN) | 4155 Dow Rd Ste M, Melbourne, FL 32934-9256 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1902406994 | Nds Solutions, Corp. | Non-emergency Medical Transport (VAN) | 3033 Sw 148th Pl, Miami, FL 33185-4089 | 2020-10-28 |
| 1477152965 | On Time Trans Inc. | Non-emergency Medical Transport (VAN) | 4496 20th Pl Sw, Naples, FL 34116-6418 | 2020-10-26 |
| 1619576113 | Cvjv Enterprise Corp | Non-emergency Medical Transport (VAN) | 8180 Nw 36th St Ste 100j, Doral, FL 33166-6650 | 2020-10-26 |
| 1407455082 | Yanet Benitez | Non-emergency Medical Transport (VAN) | 18962 Sw 113th Pl, Miami, FL 33157-7564 | 2020-10-23 |
| 1518566579 | Trans-care of Panama | Non-emergency Medical Transport (VAN) | 401 N Church Ave, Panama City, FL 32401-4763 | 2020-10-21 |
| 1992304224 | Kanton Enzor | Non-emergency Medical Transport (VAN) | 50 Sheline Dr, Havana, FL 32333-4760 | 2020-10-19 |
| 1912506122 | First Response Transport, LLC | Non-emergency Medical Transport (VAN) | 3015 9th Avenue Dr E, Palmetto, FL 34221-2403 | 2020-10-19 |
| 1962009696 | Door To Door Senior Transportation, LLC | Non-emergency Medical Transport (VAN) | 1802 Sw Del Rio Blvd, Port Saint Lucie, FL 34953-1309 | 2020-10-06 |
| 1720685530 | Ricardo Jose Restrepo | Non-emergency Medical Transport (VAN) | 8351 Sands Point Blvd Apt A104, Tamarac, FL 33321-8541 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.