JOSETTE TELISIER ALTIDOR (NPI# 1861919631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861919631 |
| Entity Type | Individual |
| Full Name | JOSETTE TELISIER ALTIDOR |
| Credential | ADMINISTRATOR /OWNER |
| Practice Address |
541 Brentford Ct Kissimmee FL 34758 |
| Mailing Address |
541 Brentford Ct Kissimmee FL 34758-4119 |
| Practice Telephone | (734) 788-9020 |
| Mailing Telephone | 7347889020 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | AL12988 | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020676200 | 05 |
| Street Address |
541 BRENTFORD CT |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854719 | Safe Faith Paradise Alf,llc | Assisted Living Facility | 541 Brentford Ct, Kissimmee, FL 34758-4119 | 2017-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417415308 | Michelle T Pickett | Home Health Aide | 260 Cranbrook Dr, Kissimmee, FL 34758 | 2019-03-09 |
| 1205359924 | Michelle Lee Piesbergen | Counselor | 909 Halifax Drive, Kissimmee, FL 34758 | 2017-07-25 |
| 1467827857 | Elina Cruz | Behavioral Analyst | 819 San Pedro, Kissimmee, FL 34758 | 2015-12-10 |
| 1710375456 | Primary Care Medical Services of Poinciana | Clinic/Center | 109 N Doverplum Ave, Kissimmee, FL 34758 | 2015-01-05 |
| 1194154054 | Purple Cactus, LLC | Community/Behavioral Health | 2515 Old Kent Circle, Kissimmee, FL 34758 | 2013-11-01 |
| 1205270683 | Deborah Kay Dziekiewicz | Respiratory Therapist, Registered | 4984 Bond St W, Kissimmee, FL 34758 | 2013-04-29 |
| 1912246786 | Poinciana Medical Center, Inc. | General Acute Care Hospital | 325 Cypress Parkway, Kissimmee, FL 34758 | 2013-02-13 |
| 1811947625 | Olga L Aponte | Registered Nurse | 105 N Doverplum, Poinciana, FL 34758 | 2006-05-11 |
| 1770549784 | Norma Sanchez Gonzalez | Personal Emergency Response Attendant | 51 N Doverplum Ave, Kissimmee, FL 34758 | 2006-04-26 |
| 1073937785 | Purple Cactus, LLC | Counselor | 2515 Old Kent Circle, Kissimmee, FL 34758 | 2014-02-17 |
| Find all providers in zip 34758 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992332423 | Tawana Banks Best | Adult Companion | 324 Ashburton Way, Kissimmee, FL 34758-4222 | 2020-03-25 |
| 1912285263 | Ivonne M Schelmety | Adult Companion | 809 E Oak St Ste 106, Kissimmee, FL 34744-5834 | 2011-08-03 |
| 1699089425 | Crew Home Care, Inc | Adult Companion | 4454 White Oak Cir, Kissimmee, FL 34746-5813 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192419 | Nyesha Isons | Adult Companion | 4835 48th St W Apt 513, Bradenton, FL 34210-2862 | 2020-10-24 |
| 1215536305 | Yolanda M Orr | Adult Companion | 1401 Marathon Key Dr Apt 103, Tampa, FL 33612-3650 | 2020-10-20 |
| 1871192187 | Yterria Mcgee | Adult Companion | 1202 N 29th St Apt 93, Fort Pierce, FL 34947-2230 | 2020-10-19 |
| 1316545544 | Hero Senior Care LLC | Adult Companion | 5231 Sw 152nd Ct, Miami, FL 33185-4110 | 2020-10-10 |
| 1821696089 | Audriana Clark | Adult Companion | 7333 Pine Forest Rd Lot 70, Pensacola, FL 32526-3910 | 2020-10-10 |
| 1154937969 | Lashonda Grice Velazquez | Adult Companion | 702 N 19th St, Palatka, FL 32177-3070 | 2020-09-17 |
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1447865639 | Yaimara Cruz | Adult Companion | 14400 Sw 79th Ct, Palmetto Bay, FL 33158-2019 | 2020-09-14 |
| 1275148082 | Latangela Shonta Vassel | Adult Companion | 1104 Bartow Rd Apt N163, Lakeland, FL 33801-5826 | 2020-09-09 |
| 1235743147 | Quanteria Mccaskill | Adult Companion | 116 Little Acres Dr, Palatka, FL 32177-4137 | 2020-09-08 |
| 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.