PRINCETON PROFESSIONAL SERVICES (NPI# 1639289036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639289036 |
| Entity Type | Organization |
| Organization Name | PRINCETON PROFESSIONAL SERVICES |
| Other Organization Name | FLORIDA HOSPITAL HOME CARE SERVICES |
| Practice Address |
600 Courtland St # 300 Orlando FL 32804-1332 |
| Practice Telephone | 4076918200 |
| Practice Fax Number | 4076918222 |
| Mailing Telephone | 4076918200 |
| Mailing Fax Number | 4076918222 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRYAN STILTZ (DIRECTOROFFICER) |
| Authorized Official Telephone | 4076918200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 20383096 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UNISON HEALTH PLAN MCR | 107211 | 01 |
| FL | WELLCARE MCR | 107211 | 01 |
| FL | HUMANA GOLD CHC MCR | 107211 | 01 |
| FL | 115555 | AMERIGROUP | 01 |
| FL | UNITED HEALTHCARE | 107211 | 01 |
| FL | PACIFICARE MCR | 107211 | 01 |
| FL | EVERCARE MCR | 107211 | 01 |
| FL | BLUE CROSS BLUE SHIELD OF | H56 | 01 |
| FL | 107211 | HIGHMARK BCBS MCR | 01 |
| Other Name | Type Code |
|---|---|
| Florida Hospital Home Care Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRINCETON PROFESSIONAL SERVICES, LLC | 29432 139th St Nw, Princeton, MN 55371-3695 |
| Street Address |
600 COURTLAND ST # 300 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659592087 | Ann Allen Pospisil | Physical Therapist | 600 Courtland St, Suite 300, Orlando, FL 32804-1332 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| 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 |
|---|---|---|---|---|
| 1649879073 | Love and Faith Senior Home Care | Home Health | 5434 Old Oak Tree Dr, Orlando, FL 32808-5994 | 2020-10-16 |
| 1588261234 | Precious Jewels Support Services Inc | Home Health | 2296 River Park Cir, Orlando, FL 32817-4880 | 2020-10-06 |
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1356951719 | Miraculous Care LLC | Home Health | 4457 Ribblesdale Ln, Orlando, FL 32808-2031 | 2020-07-31 |
| 1417566506 | Arielys Perez Caraballo | Home Health | 10256 Laxton St, Orlando, FL 32824-4430 | 2020-07-24 |
| 1336767912 | Enriched Life Care | Home Health | 1909 Ranch Estate Dr, Orlando, FL 32825-8407 | 2020-07-09 |
| 1013533769 | Nicole Homecare Services LLC | Home Health | 1000 Delphinium Dr, Orlando, FL 32825-6710 | 2020-06-18 |
| 1336764497 | Platinum Home Care Services LLC | Home Health | 5631 Gatlin Ave Apt D, Orlando, FL 32812-7746 | 2020-06-14 |
| 1104466192 | Alicia Maria Richardson | Home Health | 6100 Stevenson Dr Unit 208, Orlando, FL 32835-2396 | 2020-01-08 |
| 1447890454 | Stephanie Taylor | Home Health | 2598 Robert Trent Jones Dr Apt 1021, Orlando, FL 32835-6282 | 2020-01-08 |
| 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.