JILL VALLE RESTREPO (NPI# 1578916649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578916649 |
| Entity Type | Individual |
| Full Name | JILL VALLE RESTREPO |
| Practice Address |
10650 W State Road 84 Ste 206 Davie FL 33324-4235 |
| Practice Telephone | 9546343636 |
| Practice Fax Number | 9546343637 |
| Mailing Telephone | 9546343636 |
| Mailing Fax Number | 9546343637 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017308800 | 05 |
| Street Address |
10650 W STATE ROAD 84 STE 206 |
| City | DAVIE |
| State | FL |
| Zip Code | 33324-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063716538 | Lourdes Menoscal | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2010-12-27 |
| 1508409756 | Claudia Rubio Bautista | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-10-21 |
| 1174084594 | Gilma Tapia | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-03-28 |
| 1548725633 | Tomasa Valdes Castro | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-02-04 |
| 1205344983 | Madilyn Gonzalez | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324 | 2018-01-17 |
| 1922516632 | Yanick Maxena Reneau | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2018-01-16 |
| 1942718663 | Marlene Dugue Valcin | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2018-01-16 |
| 1649780750 | Caridad Rosado Mendez | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-10-03 |
| 1851801013 | Marie Mode Atilus | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-10-02 |
| 1932626900 | Norma Caseres | Technician | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659760171 | Patricia Blase | Technician | 10650 West State Road 84 Suit 206, Davie, FL 33324 | 2015-01-21 |
| 1053709568 | Liliana Rodriguez | Technician | 10650 West State Road 84 Ste 206, Davie, FL 33324 | 2015-01-06 |
| 1497164784 | Jaqueline Torres | Technician | 10650 West Road 84 Suite 206, Davie, FL 33324 | 2014-08-12 |
| 1447521174 | Barbara Milligen-lee | Technician | 12401 Orange Dr # Sr, Suite 219, Davie, FL 33330-4341 | 2012-01-26 |
| 1346544657 | Marie Cajuste | Technician | 10650 West State Road 84, Suite 206, Davie, FL 33324 | 2010-12-29 |
| 1831493360 | Lilia London | Technician | 12555 Orange Dr Ste 222, Davie, FL 33330-4304 | 2010-12-23 |
| 1932626900 | Norma Caseres | Technician | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-08-29 |
| 1689191660 | Mercedes Y Medina | Technician | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-08-29 |
| 1013446491 | Sandra Angelica Rincon | Technician | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-06-08 |
| 1841729142 | Xiomara Carolina Rodriguez | Technician | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-06-08 |
| Find all providers in DAVIE | ||||
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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.