LORRAINE ASSISTED CARE DBA MELISSA ANN BONGART (NPI# 1609117621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609117621 |
Entity Type | Organization |
Organization Name | LORRAINE ASSISTED CARE DBA MELISSA ANN BONGART |
Other Organization Name | MELISSA ANN BONGART |
Practice Address |
5916 Lorraine Rd Bradenton FL 34211-9208 |
Mailing Address |
5916 Lorraine Road Bradenton FL 34211 |
Practice Telephone | 9415049412 |
Mailing Telephone | 9415049412 |
Enumeration Date | 2013-03-15 |
Last Update Date | 2013-03-15 |
Authorized Official Name | MELISSA ANN BONGART (OWNER) |
Authorized Official Telephone | 9415049412 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906389 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 004043700 | 05 |
Other Name | Type Code |
---|---|
Melissa Ann Bongart | Doing Business As Name - Organization |
Street Address |
5916 LORRAINE RD |
City | BRADENTON |
State | FL |
Zip Code | 34211-9208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053739920 | Lorraine Assisted Care, Inc | Clinic/Center | 5916 Lorraine Rd, Bradenton, FL 34211-9208 | 2014-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
1457992414 | Center for Home Dialysis At Lakewood Ranch LLC | Clinic/Center | 1939 Worth Court, Lakewood Ranch, FL 34211 | 2019-10-01 |
1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
1326557349 | Fabio Rodriguez | Student in an Organized Health Care Education/Training Program | 5000 Lakewood Ranch Blvd, Bradenton, Fl 34211, Bradenton, FL 34211 | 2017-09-21 |
1972906121 | Linda Michelle Sizler | Social Worker | 5460 Lena Road, Suite 103, Bradenton, FL 34211 | 2014-10-02 |
1972911147 | Cory Matthew Collier | Optometrist | 5489 Lena Rd, Bradenton, FL 34211 | 2014-07-31 |
1184069312 | Cassandra Lucia D'addeo | Marriage & Family Therapist | 5454 Lena Rd Unit 106, Bradenton, FL 34211 | 2013-05-01 |
1073764338 | Lyndsey K Nalu | Audiologist | 11041 Gatewood Dr, Lakewood Ranch, FL 34211 | 2008-10-06 |
1245412451 | Richard A Saladino | Clinic/Center | 11009 Gatewood Dr, #103, Bradenton, FL 34211 | 2007-11-29 |
1568528461 | Yusef Cornel Barnes | Chiropractor | 1859 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2006-12-28 |
Find all providers in zip 34211 |
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 |
---|---|---|---|---|
1760032460 | Ronald Abner Dieudonne | Custodial Care Facility | 804 36th Ave E, Bradenton, FL 34208-4528 | 2019-09-14 |
1194379081 | Darleen Allen | Custodial Care Facility | 208 42nd Ave E # A, Bradenton, FL 34208-4412 | 2019-07-29 |
1336685106 | Carla Henderson | Custodial Care Facility | 5103 19th Ct E, Bradenton, FL 34203-4266 | 2017-01-17 |
1659674893 | Dawn Rae Mack | Custodial Care Facility | 2104 55th Ave W, Bradenton, FL 34207-3240 | 2010-12-09 |
1780014027 | Evadney E Walker-avoine | Custodial Care Facility | 201 22nd Street Ct Ne, Bradenton, FL 34208-1756 | 2013-11-23 |
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 |
1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
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 |
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.