MS. MICHELE M GAVIN (NPI# 1629692736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629692736 |
| Entity Type | Individual |
| Full Name | MS. MICHELE M GAVIN |
| Credential | OWNER |
| Practice Address |
3450 Kaiser Ave Saint Cloud FL 34772-7311 |
| Mailing Address |
4701 Old Canoe Creek Rd Unit 702121 Saint Cloud FL 34770-7086 |
| Practice Telephone | 4073018804 |
| Mailing Telephone | 4073018804 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 6969062 | FL | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053374900 | Michele M Gavin | Physician Assistant | 9500 Euclid Ave # R20, Cleveland, OH 44195-0001 | 2006-04-11 |
| Street Address |
3450 KAISER AVE |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34772-7311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780110940 | Caitlin Smith | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2017-05-10 |
| 1073069787 | Yolimar Vazquez | Specialist/Technologist | 2332 Seven Oaks Dr, Saint Cloud, FL 34772 | 2016-09-01 |
| 1881041903 | Diana Barreto | Counselor | 4205 Cracker Ct, St.cloud, FL 34772 | 2016-05-18 |
| 1356713267 | Gilbert Saenz | Counselor | 4622 Mildred Bass Road, St. Cloud, FL 34772 | 2015-10-30 |
| 1841532025 | Origin Hospitality LLC | Assisted Living Facility | 2910 Old Canoe Creek Rd, Saint Cloud, FL 34772 | 2013-03-26 |
| 1912264037 | Mario Gregorio Rodriguez | Skilled Nursing Facility | 3056 Sandstone Circle, St Cloud, FL 34772 | 2012-04-13 |
| 1356479182 | Ramon Roman Jr. | Counselor | 3640 Doe Run Dr., St. Cloud, FL 34772 | 2007-03-01 |
| 1619451085 | Sunny Path Therapy | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2018-09-20 |
| 1154807329 | Brunella Denegri | Behavior Technician | 1300 Creekview Ct, Saint Cloud, FL 34772 | 2018-07-11 |
| 1720452436 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2301 Old Canoe Creek Rd, St. Cloud, FL 34772 | 2015-11-18 |
| Find all providers in zip 34772 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241489 | Ganielle Marva Peterson | Nursing Home Administrator | 2773 Se Clareton Ter, Port St Lucie, FL 34952-6621 | 2020-09-30 |
| 1326652231 | Emma Grace Homes LLC | Nursing Home Administrator | 600 Jefferis Ct, Eustis, FL 32726-5114 | 2020-09-08 |
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1073147914 | Kemisha Latoya Mathis | Nursing Home Administrator | 2279 W 2nd St, Jacksonville, FL 32209-6906 | 2020-03-01 |
| 1093284903 | New Day Assisted Living, LLC | Nursing Home Administrator | 1931 Sw Mcallister Ln, Port St Lucie, FL 34953-2064 | 2018-11-20 |
| 1174030589 | Olivia Marcia Batchelor | Nursing Home Administrator | 1904 Gardner Ave, Lehigh Acres, FL 33936-5344 | 2018-01-08 |
| 1699212399 | Ursula Schmiel-degama | Nursing Home Administrator | 11900 Nw 35th St, Sunrise, FL 33323-1242 | 2017-01-19 |
| 1578915070 | Luz Medy Lebron Monclova | Nursing Home Administrator | 5681 Edenfield Rd, Apt. 1005, Jacksonville, FL 32277-1469 | 2016-07-07 |
| 1992157689 | Marie Louis | Nursing Home Administrator | 19 Burning Wick Pl, Palm Coast, FL 32137-8802 | 2016-07-06 |
| 1326467374 | Beverly Campbell | Nursing Home Administrator | 2808 S 10th St, Fort Pierce, FL 34982-4306 | 2014-04-07 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 34772 |
Please comment or provide details below to improve the information on MS. MICHELE M GAVIN.
| 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.