JJ SHERRITA WHOLELISTIC SERVICES LLC (NPI# 1780198432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780198432 |
| Entity Type | Organization |
| Organization Name | JJ SHERRITA WHOLELISTIC SERVICES LLC |
| Practice Address |
5415 Hyde Park Ave Orlando FL 32808-1456 |
| Practice Telephone | 3214383744 |
| Mailing Telephone | 3214383744 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Authorized Official Name | MS. CONNIE COBBS (OWNER) |
| Authorized Official Telephone | 3214383744 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
5415 HYDE PARK AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32808-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538678156 | Shakina Goodwin | Behavior Technician | 5415 Hyde Park Ave, Orlando, FL 32808-1456 | 2017-09-26 |
| 1679085773 | Connie S Cobbs | Homemaker | 5415 Hyde Park Ave, Orlando, FL 32808-1456 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1811522691 | Lorraine Viviene Bromfield Alleyne | In Home Supportive Care | 3536 Pine Ridge Court, Orlando, FL 32808 | 2020-03-11 |
| 1750913760 | 2 God B Thy Glory 4 Healing Angels | Respite Care | 5553 #1 Springhill Dr, Orlando, FL 32808 | 2020-02-07 |
| 1720620537 | Tamara Jefferson | Occupational Therapist | 5164 Clarion Oaks Drive, Orlando, FL 32808 | 2019-10-14 |
| 1750851341 | Gladys Joseph | Nurse's Aide | 805 Terry Lynn Drive, Orlando, FL 32808 | 2018-11-27 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1407342322 | Camha P Nguyen | Dentist | 2619 Greenfield Ave, Orlando, FL 32808 | 2018-07-03 |
| 1568964039 | Keep A Kid On Track | Counselor | 623 Pine Hill Road, Orlando, FL 32808 | 2018-03-01 |
| 1629507074 | Janelle Manning | Nurse's Aide | 5030 Rosamond Drive, Apt 2712, Orlando, FL 32808 | 2017-06-08 |
| 1770018137 | Andrew Owen | Chiropractor | 822 Mercy Dr, Orlando, FL 32808 | 2017-04-24 |
| Find all providers in zip 32808 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237723 | Clifford O Stone | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7819 Napoleon St, Orlando, FL 32825-5246 | 2020-02-20 |
| 1952958076 | Ashley S Francis | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6206 Holiday Hill Ln, Orlando, FL 32808-4233 | 2019-08-22 |
| 1427610476 | Florelena Jorge Di Profio | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2388 Grand Central Pkwy Apt 5, Orlando, FL 32839-5044 | 2019-06-30 |
| 1417429663 | A Devine Companion Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1317 Edgewater Dr Ste 1961, Orlando, FL 32804-6350 | 2018-12-28 |
| 1437636818 | Compassionate Homes & Medical Supplies Services Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6730 Goldeneye Dr, Orlando, FL 32810-6088 | 2018-07-27 |
| 1063907327 | Ramona Smith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6304 Gamble Dr, Orlando, FL 32818-4012 | 2018-06-28 |
| 1801381199 | Comfort Villa Cares | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6953 Crescent Ridge Rd, Orlando, FL 32810-5020 | 2018-06-28 |
| 1316432230 | Stephanie Dortch | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7464 Little Pond Ct, Orlando, FL 32810-6051 | 2018-06-23 |
| 1073007621 | Tonya Gibson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1500 Lamplighter Way, Orlando, FL 32818-5742 | 2018-06-18 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| Find all providers in ORLANDO | ||||
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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.