JULIANNE EASTMOND (NPI# 1659745461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659745461 |
Entity Type | Individual |
Full Name | JULIANNE EASTMOND |
Practice Address |
4504 Lee Blvd Lehigh Acres FL 33971-1627 |
Practice Telephone | 2397988764 |
Mailing Telephone | 2397988764 |
Enumeration Date | 2015-11-17 |
Last Update Date | 2015-11-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906763 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | AHCA | 6906763 | 01 |
FL | 015293000 | 05 |
Street Address |
4504 LEE BLVD |
City | LEHIGH ACRES |
State | FL |
Zip Code | 33971-1627 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285248096 | Katie L Kozlowski | Behavior Technician | 5220 Lee Boulevard, Bldg 6, Lehigh Acres, FL 33971 | 2020-08-31 |
1548821481 | Rosario Assisted Living Facility, Inc | Assisted Living Facility | 2616 22nd St W, Lehigh Acres, FL 33971 | 2019-06-21 |
1790340362 | Delia Hernandez | Behavior Technician | 2519 39th Street West, Lehigh Acres, FL 33971 | 2019-05-08 |
1669981122 | Ana Claudia Dormann | Specialist/Technologist | 5598 8th St West, Unit 3, Lehigh Acres, FL 33971 | 2017-09-27 |
1871803551 | The Joan of Arc Corporation | Day Training, Developmentally Disabled Services | 2618 44th Street West, Lehigh Acres, FL 33971 | 2010-10-15 |
1396970737 | Total Renal Care Inc | Clinic/Center | 5705 Lee Blvd Ste 16, Lehigh Acres, FL 33971 | 2009-05-28 |
1700039658 | Friendly Group Home Inc. | Day Training, Developmentally Disabled Services | 2602 50th Street West, Lehigh Acres, FL 33971 | 2008-10-23 |
1336266485 | Marjorie St.germain | Social Worker | 3709 9th Street Sw, Lehigh Acres, FL 33971 | 2007-03-23 |
1194841767 | Stanley Paul Blair | Dentist | 3003 Lee Blvd, Lehigh Acres, FL 33971 | 2007-03-22 |
1770652711 | Alan E Spinner | Chiropractor | 2718 Lee Boulevard, Suite C, Lehigh Acres, FL 33971 | 2006-11-06 |
Find all providers in zip 33971 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
1609413780 | Francilia Jean-baptiste | Custodial Care Facility | 118 Grant Blvd, Lehigh Acres, FL 33974-9476 | 2019-12-08 |
1427421221 | Charmaine Williams | Custodial Care Facility | 420 Putnam Avenue, Lehigh Acres, FL 33974 | 2015-11-03 |
1548606692 | M&l Adult Ffamily Care Home | Custodial Care Facility | 4001 8th Street S.w, Lehigh Acres, FL 33976 | 2013-05-16 |
1568718153 | Cheryl Douglas | Custodial Care Facility | 919 Commodore St, Lehigh Acres, FL 33974-4550 | 2012-08-01 |
1306369012 | Yvette A Sironel | Custodial Care Facility | 2806 42nd St Sw, Lehigh Acres, FL 33976 | 2017-07-25 |
1205207222 | Sylotte Pierre | Custodial Care Facility | 510 Lincoln Ave, Lehigh Acres, FL 33972-3935 | 2015-10-16 |
1114197571 | Kenzie Kare Group Home | Custodial Care Facility | 919 5th Ave, Lehigh Acres, FL 33972-2921 | 2008-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
1881293843 | Inspire Family Home Care LLC. | Custodial Care Facility | 566 Forsyth Creek Ct, Apopka, FL 32712-3318 | 2020-10-21 |
1336747658 | Eddrena Thornton | Custodial Care Facility | 2233 Bluebird Ave, Bartow, FL 33830-2953 | 2020-10-09 |
1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
1568077469 | Titilayo M Dipe | Custodial Care Facility | 11215 Gold Compass St, Gibsonton, FL 33534-5698 | 2020-09-09 |
1396354395 | Unique Adult Family Care Home Inc. | Custodial Care Facility | 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 | 2020-07-24 |
1790301687 | Nancy Isidor | Custodial Care Facility | 1728 Burnham Ct, Clermont, FL 34714-8048 | 2020-06-17 |
1326662206 | Yuwaret Haines | Custodial Care Facility | 13566 Rudi Loop, Spring Hill, FL 34609-7964 | 2020-06-05 |
1245854686 | Yves Carmen Dorsainvil | Custodial Care Facility | 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 | 2020-06-01 |
1619599628 | Betsy Solano | Custodial Care Facility | 6711 9th Ave N, St Petersburg, FL 33710-6139 | 2020-05-13 |
Find all providers with the same taxonomy |
City | LEHIGH ACRES |
Zip Code | 33971 |
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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.