JUDITH BARRET DOUGLAS (NPI# 1780086553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780086553 |
Entity Type | Individual |
Full Name | JUDITH BARRET DOUGLAS |
Practice Address |
3988 Hampton Hills Dr Lakeland FL 33810-3841 |
Practice Telephone | 8638688758 |
Mailing Telephone | 8638688758 |
Enumeration Date | 2014-09-23 |
Last Update Date | 2014-09-23 |
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 |
6906660 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 011674100 | 05 |
Street Address |
3988 HAMPTON HILLS DR |
City | LAKELAND |
State | FL |
Zip Code | 33810-3841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811495096 | Suzanne Brabant | Social Worker | 8179 Westmont Terrace Drive, Lakeland, FL 33810 | 2018-01-23 |
1396102554 | Faison Health Care Solution | Custodial Care Facility | 2064 View Point Landings Rd, Lakeland, FL 33810 | 2016-01-19 |
1306212808 | Drew Brownlow | Physical Therapy Assistant | 6303 Brahman Drive, Lakeland, FL 33810 | 2015-08-19 |
1043699051 | Ilene Shumaker Griffin | Home Health Aide | 2930 Oak Tree Ln, Lakeland, FL 33810 | 2015-05-22 |
1962881276 | Richardson Anointing Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 708east Ponderosa Dr, Lakeland, FL 33810 | 2015-05-20 |
1336352756 | Avito Veloso Vano | Physical Therapist | 9460 Redhawk Bend Lane, Lakeland, FL 33810 | 2007-05-08 |
1104978444 | Jean Bednarski Waters | Registered Nurse | 8516 N Campbell Rd, Lakeland, FL 33810 | 2007-01-17 |
1407892656 | David Willis Kent | Counselor | 930 Alicea Rd, Lakeland, FL 33810 | 2006-06-22 |
1972818359 | Suzanne B Stewart | Pharmacist | 3120 Kathleen Rd, Lakeland, FL 33810 | 2010-08-10 |
1689117228 | Kyosha Howard | Occupational Therapist | 3624 Country Ln, Lakeland, FL 33810-0238 | 2016-11-30 |
Find all providers in zip 33810 |
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 |
---|---|---|---|---|
1396225249 | Detra Morrison | Custodial Care Facility | 5440 Old Highway 37, Lakeland, FL 33811-2331 | 2018-08-20 |
1386005841 | Johnsons Gates LLC | Custodial Care Facility | 2736 W 10th St, Lakeland, FL 33805-3982 | 2016-03-11 |
1396102554 | Faison Health Care Solution | Custodial Care Facility | 2064 View Point Landings Rd, Lakeland, FL 33810 | 2016-01-19 |
1063720787 | Jacqueline Gale Mcgordon | Custodial Care Facility | 1038 N Walker Ave, Lakeland, FL 33805-4276 | 2010-09-15 |
1629181391 | Cathy's Adult Family Care Home | Custodial Care Facility | 420 El Dorado St, Lakeland, FL 33809-4284 | 2006-08-16 |
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 |
1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
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 |
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.