JEWELS FAMILY SUCCESS CENTER INC (NPI# 1619511391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619511391 |
| Entity Type | Organization |
| Organization Name | JEWELS FAMILY SUCCESS CENTER INC |
| Practice Address |
1201 20th St Orlando FL 32805-4632 |
| Mailing Address |
5420 Chapparrel Dr Orlando FL 32839-5221 |
| Practice Telephone | 4077067575 |
| Mailing Telephone | 4077067575 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DR. JUDITH FLETCHER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4077067575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171R00000X | Interpreter | Other Service Providers | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
1201 20TH ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32805-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797677 | Gerardo Carlos Dorado | Rehabilitation Hospital | 830 29th Street, Orlando, FL 32805 | 2019-12-18 |
| 1639731557 | Relyancecorp | Non-emergency Medical Transport (VAN) | 15 N Tanpa Ave, Orlando, FL 32805 | 2019-07-01 |
| 1518477231 | Evolution Insight Incorporated | Community/Behavioral Health | 1521 W Washington St, Orlando, FL 32805 | 2017-10-08 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1407238033 | Vickie Marie Ferguson | Social Worker | 3700 34th St Ste 100f, Orlando, FL 32805 | 2015-06-19 |
| 1508248287 | Compassionate Care Community Health Services LLC | In Home Supportive Care | 927 S. Goldwyn Ave, Suite 230, Orlando, FL 32805 | 2015-06-18 |
| 1750772612 | Rx Florida Pharmacy,llc | Pharmacist | 3615 Columbia St, Orlando, FL 32805 | 2015-02-13 |
| 1588053946 | Speech Steps | Speech-Language Pathologist | 2607 Windward Ct., Orlando, FL 32805 | 2015-01-22 |
| 1831597426 | Vonda White | Counselor | 1602 Crooms Ave., Orlando, FL 32805 | 2014-12-12 |
| 1558788653 | Laura F Lucas | Case Management | 750 S. Obt Suite 111, Orlando, FL 32805 | 2014-03-26 |
| Find all providers in zip 32805 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794243 | Nujad Perez | Day Training, Developmentally Disabled Services | 12064 Theme Aly, Orlando, FL 32832-5144 | 2020-03-03 |
| 1487153102 | Shaneeka Denise Clemons | Day Training, Developmentally Disabled Services | 5229 Van Aken Dr, Orlando, FL 32808-2511 | 2018-02-08 |
| 1730614082 | Lakesha Richards | Day Training, Developmentally Disabled Services | 6152 Bolling Dr, Orlando, FL 32808-6008 | 2017-04-25 |
| 1780123331 | Lyfe Changes LLC | Day Training, Developmentally Disabled Services | 7415 Gatehouse Cir, Apt 180, Orlando, FL 32807-6011 | 2017-02-15 |
| 1467998930 | Ishmael Bougouneau | Day Training, Developmentally Disabled Services | 2059 Veranda Cir Bldg J, Orlando, FL 32808-4861 | 2017-01-09 |
| 1548617434 | Savvy's Immaculate Care LLC | Day Training, Developmentally Disabled Services | 409 Barry St, Orlando, FL 32808-8107 | 2016-05-20 |
| 1447619275 | Able Care, LLC | Day Training, Developmentally Disabled Services | 1530 S Primrose Dr, Orlando, FL 32806-2587 | 2016-02-22 |
| 1114397130 | Renee R Jordan | Day Training, Developmentally Disabled Services | 2281 Oshkosh Ct, Orlando, FL 32818-5258 | 2015-10-02 |
| 1215315205 | Yvette G Cherazar | Day Training, Developmentally Disabled Services | 1716 Daly St, Orlando, FL 32808-6016 | 2015-05-11 |
| 1528496056 | Angels Creative Childrens Therapy LLC | Day Training, Developmentally Disabled Services | 4417 E Colonial Dr, Orlando, FL 32803-5219 | 2013-10-18 |
| Find all providers in ORLANDO | ||||
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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.