EDDISON NELSON


Address: 1292 Dorchester St, Port Charlotte, FL 33952-2512
Phone: 7276232267

EDDISON NELSON (NPI# 1881031417) 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) 1881031417
Entity Type Organization
Organization Name EDDISON NELSON
Practice Address 1292 Dorchester St
Port Charlotte
FL 33952-2512
Practice Telephone 7276232267
Enumeration Date 2013-05-22
Last Update Date 2013-05-22
Authorized Official Name EDDISON NELSON (OWNER)
Authorized Official Telephone 7276232267
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
6906576 FL Nursing & Custodial Care Facilities

Office Location

Street Address 1292 DORCHESTER ST
City PORT CHARLOTTE
State FL
Zip Code 33952-2512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518425081 Annette Simmons Custodial Care Facility 1292 Dorchester St, Port Charlotte, FL 33954 2019-03-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700486552 Arrow Medical LLC Durable Medical Equipment & Medical Supplies 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 2020-10-30
1376009621 David Alan Mowry Massage Therapist 3148 Whiting Lane, Port Charlotte, FL 33952 2019-02-12
1124527189 Aegis Group Practice, LLC Physical Therapist 2500 Aaron Street, Port Charlotte, FL 33952 2018-02-06
1255856118 All Powered Mobility, LLC Durable Medical Equipment & Medical Supplies 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 2017-08-11
1366994915 Julianne Kumar Physical Medicine & Rehabilitation 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 2016-10-31
1659729549 The Gathering Place LLC Licensed Practical Nurse 3459 Depew Ave, Port Charlotte, FL 33952 2016-06-01
1003222183 Philip Lagamma Physical Therapist 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 2014-07-09
1184039695 Nathan E Shipley Driver 2338 Alton Rd., Port Charlotte, FL 33952 2014-06-23
1619318219 Nic 4 Royal Palm Leasing LLC Assisted Living Facility 2500 Aaron St., Port Charlotte, FL 33952 2013-07-11
1225306475 Tamjo Inc Hearing Instrument Specialist 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 2011-12-02
Find all providers in zip 33952

Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144699646 Raymond B Hendricks Custodial Care Facility 1306 Annette St, Port Charlotte, FL 33980 2015-09-15
1366864795 Ivy Flo Moore Custodial Care Facility 23145 Gray Ave, Port Charlotte, FL 33980-8587 2014-01-21
1922438464 Julliet Jackson Custodial Care Facility 17345 Edgewater Dr, Port Charlotte, FL 33948-2343 2013-11-20
1508203571 Chery Adult Family Care Home Custodial Care Facility 1048 Renoir St, Port Charlotte, FL 33952-1762 2013-05-30
1356788996 Jeanette Gadsden Custodial Care Facility 1113 Fleetwood Dr Nw, Port Charlotte, FL 33948-2001 2013-05-22
1750727061 Spliddie Harrison Custodial Care Facility 23529 Quasar Blvd, Port Charlotte, FL 33980-3120 2013-05-14
1346686714 George Harris Custodial Care Facility 152 Torrington St, Port Charlotte, FL 33954-2424 2013-05-13
1174969588 Annette Angela Hughes Custodial Care Facility 18520 Satsuma Ave, Port Charlotte, FL 33948-7520 2013-05-13
1528404928 Merona Grey Custodial Care Facility 23167 Wilkinson Ave, Port Charlotte, FL 33980-5865 2013-05-13
1538503784 Sharon Marcia Nelson Custodial Care Facility 21459 Seaton Ave, Port Charlotte, FL 33954-3251 2013-04-18
Find all providers in PORT CHARLOTTE

Competitor

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City PORT CHARLOTTE
Zip Code 33952

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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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