JOHN D WALLACE (NPI# 1679900161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679900161 |
| Entity Type | Individual |
| Full Name | JOHN D WALLACE |
| Practice Address |
1455 Nw 53rd St Apt 222 Miami FL 33142 |
| Mailing Address |
15286 Sw 104th St Apt 2-22 Miami FL 33196-3238 |
| Practice Telephone | 9044183893 |
| Mailing Telephone | 9044183893 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 372600000X | Adult Companion | 235276 | FL | Nursing Service Related Providers |
| Y | 376J00000X | Homemaker | 235276 | FL | Nursing Service Related Providers |
| N | 385H00000X | Respite Care | 235276 | FL | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023508868 | John E Wallace | Physical Therapist | 1060 Nimitzview Dr Ste 205, Cincinnati, OH 45230-4351 | 2018-05-17 |
| 1437590973 | John Burton Wallace V | Social Worker | 141 S 5th St Ofc East, Brooklyn, NY 11211 | 2013-07-12 |
| 1346517307 | John Widtsoe Wallace | Specialist | 1091 Southport Dr, Medina, OH 44256-3019 | 2011-11-18 |
| 1225292634 | John Wallace | Anesthesiology | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2008-07-15 |
| 1629241070 | John Dean Wallace Jr. | Dentist | 9913 Mission Gorge Rd Unit 1, Santee, CA 92071-3843 | 2008-04-08 |
| 1275663916 | John Robert Wallace | Physical Therapist | 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 | 2007-03-06 |
| 1346379161 | John G Wallace | Psychiatry & Neurology | 17515 N Park Pl N, Shoreline, WA 98133-4803 | 2007-03-05 |
| 1841359775 | John Thomas Wallace | Chiropractor | 3314 Us Highway 431, Albertville, AL 35950 | 2006-12-06 |
| 1316038839 | John Kline Wallace | Dentist | 2501 Princess Anne St, Fredericksburg, VA 22401-3333 | 2006-09-28 |
| 1144333261 | John Henry Wallace | Dentist | 583 Moull St, Newark, OH 43055-2909 | 2006-08-15 |
| Street Address |
1455 NW 53RD ST APT 222 |
| City | MIAMI |
| State | FL |
| Zip Code | 33142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861622 | Sofia Catena | Student in an Organized Health Care Education/Training Program | 1611 Nw 42nd Avenue, Miami, FL 33142 | 2020-04-28 |
| 1093334492 | Sentir Medical Center Inc. | Clinic/Center | 1493 Nw 54th St, Miami, FL 33142 | 2020-04-15 |
| 1700427481 | Suncare Therapy, Inc | Physical Therapist | 1251 Nw 36th Street, Miami, FL 33142 | 2019-10-03 |
| 1477070910 | Marcellas Holmes | Behavior Technician | 2500 Nw 59th St Apt B, Miami, FL 33142 | 2017-08-25 |
| 1992228605 | Mobility Medical Transport, Inc | Non-emergency Medical Transport (VAN) | 3590 Nw 49 St, Miami, FL 33142 | 2017-07-25 |
| 1184146540 | Antonio Javaun Davis | Counselor | 1469 Nw 36th Street, Miami, FL 33142 | 2017-07-07 |
| 1467992594 | Lissainet Diaz Sarduy | Behavior Technician | 2992 Nw 49 St, Miami, FL 33142 | 2017-03-08 |
| 1467800169 | Pharmacy Chevalier Inc | Durable Medical Equipment & Medical Supplies | 1553-55 Nw 36 Street, Miami, FL 33142 | 2016-06-03 |
| 1770958811 | Ray Miami Medical Center Corp | General Practice | 3900 Nw 36 St, 594, Miami, FL 33142 | 2015-12-01 |
| 1861861650 | Borinquen Health Care Center Inc | Clinic/Center | 2420 Nw 18 Avenue, Comstock Elementary, Miami, FL 33142 | 2015-09-22 |
| Find all providers in zip 33142 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072787 | Stephanie Desir | Homemaker | 21427 Nw 13th Ct Apt 214, Miami, FL 33169-7428 | 2020-01-24 |
| 1275172488 | Catalina Garcia | Homemaker | 9837 Sw 117th Pl, Miami, FL 33186-2782 | 2020-01-06 |
| 1558909796 | Christine Nell Lubin | Homemaker | 19300 Nw 7th Ave, Miami, FL 33169-3551 | 2019-12-18 |
| 1720624067 | Blessing Homemaker Companion Services Corp | Homemaker | 10311 Sw 51st St, Miami, FL 33165-6230 | 2019-11-21 |
| 1508428582 | Lakeisha Lawrence | Homemaker | 10145 Sw 171st St, Miami, FL 33157-4341 | 2019-07-01 |
| 1205300704 | New Beginnings Quality Care Services Inc | Homemaker | 6865 Sw 45th Ln Apt 9, Miami, FL 33155-6829 | 2019-01-17 |
| 1366926487 | Sandra M Palacio | Homemaker | 5400 Sw 101st Ave, Miami, FL 33165-7143 | 2018-09-25 |
| 1609357300 | Hands of Gaia Ventures Corp | Homemaker | 425 Ne 22nd St Ste 202, Miami, FL 33137-5181 | 2018-08-22 |
| 1619467909 | Melissa Bates | Homemaker | 915 Nw 1st Ave Apt H1614, Miami, FL 33136-3573 | 2018-05-13 |
| 1952848640 | Tatiana Anita Johnson | Homemaker | 1915 Nw 49th St, Miami, FL 33142-4067 | 2017-01-19 |
| Find all providers in MIAMI | ||||
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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.