SHEDEV COMMUNITY OUTREACH CENTER, INC (NPI# 1710496237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710496237 |
| Entity Type | Organization |
| Organization Name | SHEDEV COMMUNITY OUTREACH CENTER, INC |
| Other Organization Name | PERSONAL TOUCH REHABILITATION AND WELLNESS |
| Practice Address |
11812 Gilmerton Dr Riverview FL 33579-3929 |
| Mailing Address |
13194 Us Highway 301 S Ste 147 Riverview FL 33578-7410 |
| Practice Telephone | 7186371556 |
| Mailing Telephone | 8136778106 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. SHERON ALEXIS-JOHN (PRESIDENT) |
| Authorized Official Telephone | 7186371556 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHEDEV COMMUNITY OUTREACH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Personal Touch Rehabilitation And Wellness | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13194 Us Highway 301 S Ste 147, Riverview, FL 335787410 | (813) 677-8106 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SHEDEV COMMUNITY OUTREACH CENTER, INC. | 1226 E. 56th Street, Brooklyn, New York 11234 |
| Street Address |
11812 GILMERTON DR |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33579-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912505 | Joanna Johnson | Developmental Therapist | 10910 Keys Gate Drive, Riverview, FL 33579 | 2020-05-05 |
| 1255815114 | Advanced Dental Care of Riverview Pllc | Clinic/Center | 13018 S Us Highway 301, Riverview, FL 33579 | 2018-09-18 |
| 1265920078 | Takashi Dixon | Dentist | 10625 Big Bend Rd, Riverview, FL 33579 | 2018-04-26 |
| 1821513243 | Marie Evens Murat | Registered Nurse | 12718 Lovers Lane, Riverview, FL 33579 | 2017-08-07 |
| 1467907857 | Dorothy Araujo | Assisted Living Facility | 11626 Tropical Isle Ln, Riverview, FL 33579 | 2016-08-16 |
| 1134571128 | Tampa Institute for Pain and Spine, LLC | Anesthesiology | 13140 Elk Mountain Dr, Suite B, Riverview, FL 33579 | 2016-07-01 |
| 1669832242 | Shawn Mckeag | Speech-Language Pathologist | 11838 Newberry Grove Loop, Riverview, FL 33579 | 2016-02-25 |
| 1902202377 | Jose Gerena | Adult Companion | 11325 Village Brook Dr, Riverview, FL 33579 | 2014-11-13 |
| 1912259409 | Brandi L Torres | Nurse Practitioner | 10729 Queens Town Drive, Riverview, FL 33579 | 2012-10-08 |
| 1952677700 | Crystal Nache Clark | Counselor | 13902 Sage Thrasher Lane, Riverview, FL 33579 | 2012-03-27 |
| Find all providers in zip 33579 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406440 | Northland Hearing Centers, Inc. | Clinic/Center | 13710 Metropolis Ave Ste 101, Fort Myers, FL 33912-7144 | 2020-10-26 |
| 1063019172 | Northland Hearing Center, Inc. | Clinic/Center | 2400 Sw College Rd Ste 202, Ocala, FL 34471-4770 | 2020-10-02 |
| 1801493002 | Northland Hearing Center, Inc. | Clinic/Center | 907 Mar Walt Dr Ste 2012, Fort Walton Beach, FL 32547-6756 | 2020-10-01 |
| 1750988960 | Northland Hearing Center, Inc. | Clinic/Center | 1000 S Jefferson St Ste E, Perry, FL 32348-4607 | 2020-10-01 |
| 1548867740 | Northland Hearing Center, Inc. | Clinic/Center | 4100 S Ferdon Blvd Ste A5, Crestview, FL 32536-5287 | 2020-10-01 |
| 1386241586 | Northland Hearing Center, Inc. | Clinic/Center | 950 N Collier Blvd Ste 402, Marco Island, FL 34145-2722 | 2020-10-01 |
| 1154928349 | Northland Hearing Center, Inc. | Clinic/Center | 2209 Santa Barbara Blvd Ste 102, Cape Coral, FL 33991-4333 | 2020-10-01 |
| 1285240697 | Hear Usa | Clinic/Center | 3618 Kiessel Rd, The Villages, FL 32163-2910 | 2020-09-21 |
| 1003427600 | Takes2tolingo, LLC | Clinic/Center | 13712 18th Pl E, Bradenton, FL 34212-9178 | 2020-08-17 |
| 1164032611 | Speechrx LLC | Clinic/Center | 1762 Sw Crane Creek Cir, Palm City, FL 34990-2232 | 2020-08-08 |
| Find all providers with the same taxonomy | ||||
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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.