DESTINED FOR CHANGE LLC (NPI# 1720593627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720593627 |
| Entity Type | Organization |
| Organization Name | DESTINED FOR CHANGE LLC |
| Practice Address |
401 E Jackson St Ste 2340 Tampa FL 33602-5226 |
| Practice Telephone | 8138670053 |
| Practice Fax Number | 8138670054 |
| Mailing Telephone | 8138670053 |
| Mailing Fax Number | 8138670054 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Authorized Official Name | CHAVARRA SIMMONS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8138670053 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
401 E JACKSON ST STE 2340 |
| City | TAMPA |
| State | FL |
| Zip Code | 33602-5226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104351956 | Tommy Steven Kennedy | Podiatrist | 401 E Jackson St Ste 2340, Tampa, FL 33602-5226 | 2017-04-28 |
| 1346867769 | Noble Telehealth LLC | Clinic/Center | 401 E Jackson St Ste 2340, Tampa, FL 33602-5226 | 2020-07-01 |
| 1043871684 | Rcs Medical Corp | Durable Medical Equipment & Medical Supplies | 401 E Jackson St Ste 2340, Tampa, FL 33602-5226 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482088 | Michael P. Flynn | Radiology | 1003 Bay Harbour Place, Tampa, FL 33602 | 2019-11-18 |
| 1821649211 | Shannon Tracy Munz | Nurse Practitioner | 203 N Marion St, Tampa, FL 33602 | 2019-09-26 |
| 1932682846 | Ferrara Dental Pllc | Dentist | 201 East Kennedy Blvd, Suite 1425, Tampa, FL 33602 | 2018-09-07 |
| 1639668692 | Darrell Wayne Fennell Jr. | Counselor | 400 N Ashley Dr Ste 2600, Tampa, FL 33602 | 2018-05-05 |
| 1093233967 | Synergic Healthcare Solutions LLC | Clinic/Center | 303 W Palm Ave, Tampa, FL 33602 | 2017-08-31 |
| 1568980464 | Drsoncalls | General Practice | 449 S 12th St., Unit 2801, Tampa, FL 33602 | 2017-08-31 |
| 1386178283 | Charles Stuart | Occupational Therapy Assistant | 313 E. Oak Ave, Tampa, FL 33602 | 2017-04-18 |
| 1285172122 | Frank Watson | Chiropractor | 1004 North Florida Ave., Tampa, FL 33602 | 2017-02-10 |
| 1295189801 | Stephanie Buchman | Student in an Organized Health Care Education/Training Program | 1156 Shipwatch Circle, Tampa, FL 33602 | 2016-04-20 |
| 1093189896 | Jonnique Adjmul | Counselor | 300 E Madison St Ste 201, Tampa, FL 33602 | 2015-11-17 |
| Find all providers in zip 33602 | ||||
| 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 |
|---|---|---|---|---|
| 1295347714 | Vanessa Clark | Homemaker | 8305 Bottom Woods Cir Apt 102, Tampa, FL 33637-5082 | 2020-08-17 |
| 1215575386 | April L Nelson | Homemaker | 1102 N Albany Ave, Tampa, FL 33607-5403 | 2019-12-19 |
| 1497304901 | Oasis Family Care LLC | Homemaker | 4719 Town N Country Blvd, Tampa, FL 33615-4524 | 2019-09-06 |
| 1306308663 | Lakina S Scott | Homemaker | 8506 Gold Ridge Cir, Tampa, FL 33619-4931 | 2019-04-04 |
| 1407322282 | Kelene Robinson | Homemaker | 9309 N 28th St, Tampa, FL 33612-8710 | 2018-10-18 |
| 1255812418 | Mohammed 'mark' A Hamid | Homemaker | 20701 Bruce B Downs Blvd, Tampa, FL 33647-3676 | 2018-08-27 |
| 1568954378 | Alkt L.l.c | Homemaker | 5319 Bradbury Ct, Tampa, FL 33624-2514 | 2018-06-06 |
| 1710477104 | Leon Hall | Homemaker | 7522 Carolton Cir, Tampa, FL 33619-4706 | 2018-05-11 |
| 1881194595 | Immacula Augustin | Homemaker | 5711 N Nebraska Ave, Tampa, FL 33604-7125 | 2018-02-19 |
| 1437670551 | Vintoria Hopps | Homemaker | 4713 N 40th St Ste B, Tampa, FL 33610-6712 | 2017-06-28 |
| Find all providers in TAMPA | ||||
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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.