PINK WILDLIFE LLC (NPI# 1851807150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851807150 |
| Entity Type | Organization |
| Organization Name | PINK WILDLIFE LLC |
| Practice Address |
5130 Main St Ste 3 New Port Richey FL 34652-2105 |
| Practice Telephone | 7278077033 |
| Mailing Telephone | 7278077033 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Authorized Official Name | LANETTE A SHERLOCK (OWNER) |
| Authorized Official Telephone | 7278077033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | JB265723 | FL | Other Service Providers |
| Street Address |
5130 MAIN ST STE 3 |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34652-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
| 1679048805 | Medical Risk Solutions | Family Medicine | 5117 Madison Street, New Port Richey, FL 34652 | 2018-10-03 |
| 1962904409 | Blessings Treatment and Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
| 1053797324 | Manisha Briel Mattei | Home Health Aide | 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 | 2015-08-10 |
| 1225418155 | Richard Nikla Lmhc Dba West Coast Behavioral Therapy | Community/Behavioral Health | 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 | 2015-06-05 |
| 1003294778 | Madison Plummer | Speech-Language Pathologist | 6186 Seaside Drive, New Port Richey, FL 34652 | 2015-05-13 |
| 1194119255 | A Family Dentist Pa | Dentist | 5153 Marine Pkwy, New Port Richey, FL 34652 | 2015-03-26 |
| 1861886186 | Aap Group Inc | Pharmacy | 5812 Sr. 54, Newport Richey, FL 34652 | 2015-03-25 |
| 1225215064 | Nader H Chadda | Internal Medicine | 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 | 2008-01-23 |
| 1639351422 | Sreenivas P Vangara Md Pa | Internal Medicine | 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 | 2007-12-04 |
| Find all providers in zip 34652 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093293300 | Doreen Moroney | Prevention Professional | 2221 Harrison St, Titusville, FL 32780-4611 | 2018-07-30 |
| 1386130003 | Harvestreapersintl Chaplain Association | Prevention Professional | 5460 N State Road 7 Ste 122, Ft Lauderdale, FL 33319-2968 | 2018-07-05 |
| 1306371794 | Rami Brown | Prevention Professional | 126 White Fawn Dr, Daytona Beach, FL 32114-1459 | 2017-04-24 |
| 1417481698 | Maureen Holdreith Digulimio | Prevention Professional | 13755 Oleander Ave, Juno Beach, FL 33408-1623 | 2017-04-14 |
| 1851832075 | Cyndi Caballero | Prevention Professional | 253 Ne 2nd St Apt 610, Miami, FL 33132-2289 | 2017-03-20 |
| 1164963922 | Greg Perkins | Prevention Professional | 2161 Lake Debra Dr, Suite 1716, Orlando, FL 32835-6378 | 2017-03-13 |
| 1093254716 | Hathor Wellcare Center Inc | Prevention Professional | 14269 Sw 42nd St, Miami, FL 33175-6408 | 2017-02-14 |
| 1316486111 | Samuel Castillo | Prevention Professional | 7323 Sw 134th Pl, Miami, FL 33183-3241 | 2017-02-14 |
| 1356888366 | Acucentral LLC | Prevention Professional | 8180 Nw 36th St Ste 304, Doral, FL 33166-6660 | 2017-01-28 |
| 1811433295 | Caitlin Barrett | Prevention Professional | 34632 Galla Rd, Fruitland Park, FL 34731-3427 | 2017-01-10 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34652 |
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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.