MY RESIDENCE CARE PLACE LLC (NPI# 1629582663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629582663 |
| Entity Type | Organization |
| Organization Name | MY RESIDENCE CARE PLACE LLC |
| Other Organization Name | MY RESIDENCE CARE PLAC LLC |
| Practice Address |
10175 County Road 229 Oxford FL 34484-3955 |
| Practice Telephone | 3524845495 |
| Practice Fax Number | 3523300621 |
| Mailing Telephone | 3524845495 |
| Mailing Fax Number | 3523300621 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | KIM RICHELLE JONES (OWNER) |
| Authorized Official Telephone | 3524845495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 234865 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017159100 | 05 |
| Other Name | Type Code |
|---|---|
| MY RESIDENCE CARE PLAC LLC | Other Name - Individual/Organization |
| Street Address |
10175 COUNTY ROAD 229 |
| City | OXFORD |
| State | FL |
| Zip Code | 34484-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114386471 | Kim Jones | Home Health | 10175 County Road 229, Oxford, FL 34484-3955 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760723 | Advanced Surgery Center of Oxford | Clinic/Center | 12117 Cr 103, Oxford, FL 34484 | 2019-09-24 |
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1336513639 | Balanced Wellbeing LLC | Psychiatry & Neurology | 10840 North Us Highway, Suite 301, Oxford, FL 34484 | 2015-11-24 |
| 1558616052 | Junzen Ballesil Domingo | Physical Therapist | 14401 S. Military Trail, Apt 110, Delray Beach, FL 34484 | 2012-07-20 |
| 1285960229 | Tracy Renna | Occupational Therapist | 4904 Ne 123rd Ln, Oxford, FL 34484 | 2009-10-27 |
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1942238506 | Hartford Health Services, LLC | Home Health | 11031 N Us Highway 301 Ste 103, Oxford, FL 34484 | 2006-06-30 |
| 1962046151 | Solace Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 12117 Cr 103, Oxford, FL 34484 | 2019-10-31 |
| 1689142259 | Kendra Nicole Wilson | Physician Assistant | 10840 N Us Highway 301, Oxford, FL 34484 | 2018-11-12 |
| 1841451507 | Rebecca M Herndon | Occupational Therapist | 4725 Bellwether Ln, Oxford, FL 34484 | 2008-06-24 |
| Find all providers in zip 34484 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851923072 | Johnnie Michael Land | Home Health | 2 N Washington St Ste 2, Oxford, MI 48371-4665 | 2020-02-05 |
| 1447881925 | Sonya Betts Wyche | Home Health | 732 Baker St, Oxford, NC 27565-2704 | 2020-02-03 |
| 1750931069 | A & A Care At Heart, LLC | Home Health | 2104 Delores Dr, Oxford, MS 38655-5235 | 2019-09-18 |
| 1588182455 | Statewide Healthcare Services, Inc | Home Health | 80 Ali Way, Oxford, AL 36203-1835 | 2017-08-31 |
| 1336680206 | Golden Girls Homecare | Home Health | 116 Martinson Lane, Oxford, NY 13830-0177 | 2017-03-13 |
| 1114386471 | Kim Jones | Home Health | 10175 County Road 229, Oxford, FL 34484-3955 | 2016-02-15 |
| 1194198341 | Helping Hands Home Health Care, Inc | Home Health | 3120 Stanton Rd, Oxford, MI 48371-5829 | 2015-11-10 |
| 1902177140 | Four H Home Care Agency | Home Health | 806 Lewis St Ste F, Oxford, NC 27565-3808 | 2012-01-19 |
| 1174821326 | Lifetime Homecare Services, LLC | Home Health | 226 W College St, Oxford, NC 27565-2658 | 2011-03-10 |
| 1700181948 | Preferred Nursing Services of Oxford | Home Health | 226 New College St, Oxford, NC 27565-2931 | 2011-01-19 |
| Find all providers in OXFORD | ||||
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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.