SANDRA GREENE (NPI# 1619588845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619588845 |
| Entity Type | Individual |
| Full Name | SANDRA GREENE |
| Practice Address |
6617 Letohatchee St Panama City FL 32404-8029 |
| Practice Telephone | 1850866705 |
| Mailing Telephone | 1850866705 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205153970 | Sandra Greene | Counselor | 3847 Degnan Blvd, Los Angeles, CA 90008-1930 | 2010-04-21 |
| 1265613400 | Sandra Alison Greene | Dental Hygienist | 120 S Denton Tap Rd, Suite 270-a, Coppell, TX 75019-3297 | 2007-11-15 |
| Street Address |
6617 LETOHATCHEE ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32404-8029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278854 | Wayne Harris | Non-emergency Medical Transport (VAN) | 4826 Mccall Ln, Panama City, FL 32404 | 2014-05-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1114288651 | Carly D Taulbee | Physical Therapy Assistant | 626 S Tyndall Pkwy, Panama City, FL 32404 | 2012-05-31 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1760695431 | Corey J Seymour | Military Health Care Provider | 4837 Mccall Ln, Panama City, FL 32404 | 2007-05-08 |
| 1336361625 | Vicky Perkins Whitfield | Pharmacist | 3621 Us Hwy 231 N., Panama City, FL 32404 | 2007-05-03 |
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1184782906 | Shelley Isenberg Hickman | Occupational Therapist | 5441 Nehi Rd, Panama City, FL 32404 | 2006-12-05 |
| 1629151931 | Kenneth Michael Plumley | Physician Assistant | 5620 Cherry St, Callaway, FL 32404 | 2006-10-23 |
| Find all providers in zip 32404 | ||||
| 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 |
|---|---|---|---|---|
| 1538767298 | Healthy Group Home Project, LLC. | Day Training, Developmentally Disabled Services | 849 Mulberry Ave, Panama City, FL 32401-2556 | 2020-10-15 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1053869800 | Rosalind Beckton | Day Training, Developmentally Disabled Services | 712 Kirklin Ave, Panama City, FL 32401-4648 | 2016-09-21 |
| 1114309333 | Second Chance of Northwest Florida | Day Training, Developmentally Disabled Services | 819 E 11th St, Panama City, FL 32401-3459 | 2015-06-24 |
| 1144513243 | Rescare Florida, Inc. | Day Training, Developmentally Disabled Services | 1015 Grace Ave, Ste C, Panama City, FL 32401-2494 | 2011-05-23 |
| 1376701722 | Community-based Options, Inc. | Day Training, Developmentally Disabled Services | 435 W Oak Ave, Panama City, FL 32401-2737 | 2008-05-31 |
| 1316111867 | Rescare Florida, Inc. | Day Training, Developmentally Disabled Services | 2683 Jenks Ave, Panama City, FL 32405-4351 | 2008-04-16 |
| 1326678442 | Sarabia J Tiller | Day Training, Developmentally Disabled Services | 1011 Grace Ave, Panama City, FL 32401-2494 | 2020-01-16 |
| 1285892638 | Cbo In-home, Inc. | Day Training, Developmentally Disabled Services | 435 W Oak Ave, Panama City, FL 32401-2737 | 2008-05-31 |
| 1225183114 | United Cerebral Palsy of N Florida | Day Training, Developmentally Disabled Services | 1241 N East Ave, Panama City, FL 32401-4426 | 2007-01-24 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32404 |
Please comment or provide details below to improve the information on SANDRA GREENE.
| 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.