MRS. STEPHANIE R FORDE


Address: 12379 Glimmer Way, Jacksonville, FL 32219-1867
Phone: 9043147411

MRS. STEPHANIE R FORDE (NPI# 1831759141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831759141
Entity Type Individual
Full Name MRS. STEPHANIE R FORDE
Other Name MS. STEPHANIE R GREEN
Practice Address 12379 Glimmer Way
Jacksonville
FL 32219-1867
Practice Telephone 9043147411
Practice Fax Number 9047512200
Mailing Telephone 9043147411
Mailing Fax Number 9047512200
Enumeration Date 2019-06-18
Last Update Date 2019-06-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers
N 374U00000X Home Health Aide Nursing Service Related Providers
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility

Office Location

Street Address 12379 GLIMMER WAY
City JACKSONVILLE
State FL
Zip Code 32219-1867

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902182447 Beatrice E Hall Technician 5838 Soutel Dr., Jacksonville, FL 32219 2011-10-28
1437173697 Bennie Clark Jr. Dentist 5475 Soutel Drive, Jacksonville, FL 32219 2006-07-27
1801842679 Susan E. Kurner Counselor 10149 Fox Lake Ct, Jacksonville, FL 32219-1693 2006-05-25
1841629243 Latonia Delores Simmons Day Training, Developmentally Disabled Services 12428 Cadley Cir, Jacksonville, FL 32219-1861 2013-11-06
1114495512 La Assistant Services Home Health Aide 12428 Cadley Cir, Jacksonville, FL 32219-1861 2018-11-05
1700372869 Valerie M Vinson-anderson In Home Supportive Care 6751 Langford St, Jacksonville, FL 32219-1875 2018-07-02
1821528860 Samaiyah Harris Adult Companion 6967 Sandle Dr, Jacksonville, FL 32219-1884 2017-06-13
1023508595 Present Help Companion Services, LLC Respite Care 6967 Sandle Dr, Jacksonville, FL 32219-1884 2018-05-10
1629635420 Kimberly Walker Registered Nurse 8921 Merseyside Ave, Jacksonville, FL 32219-2374 2019-05-28
1649808197 Leaanne Griffis Registered Nurse 10482 New Kings Rd, Jacksonville, FL 32219-2418 2020-03-31
Find all providers in zip 32219

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972141224 Ami B Kowalski Technician 8161 Crosswind Rd, Jacksonville, FL 32244-5453 2019-12-17
1104462423 Geoffrey C Lane Technician 4216 Old Mill Cove Trl W, Jacksonville, FL 32277-1582 2019-11-21
1093279572 Andrew Jay Jackson Technician 125 County Road 4209, Jacksonville, TX 75766-5574 2019-01-29
1790259729 Juanita R. Cooks Technician 3224 Liberty Cir, Jacksonville, FL 32206-2101 2019-01-12
1669945606 Suzie Pennington Technician 7541 Fawn Lake Dr N, Jacksonville, FL 32256-3665 2019-01-02
1518439876 Angela Rand Technician 1710 Naldo Ave, Jacksonville, FL 32207-3138 2018-12-27
1366913394 Sandra Prince Alvey Technician 2829 Seville Ct, Jacksonville, FL 32207-4622 2018-12-17
1235600321 Angela Justina Mcdonald Technician 3047 Mikris Dr E, Jacksonville, FL 32225-7607 2018-12-16
1306317359 Lauren Renee Simao Technician 1665 Cedar Bay Rd, Jacksonville, FL 32218-4971 2018-12-16
1861976714 Tomilko Adina Burden Technician 5984 Windsor Forest Dr Apt 5, Jacksonville, FL 32210-7802 2018-09-17
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32219

Improve Information

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Dataset Information

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.

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