PORT CHARLOTTE HMA LLC (NPI# 1932146776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932146776 |
| Entity Type | Organization |
| Organization Name | PORT CHARLOTTE HMA LLC |
| Other Organization Name | PEACE RIVER HOME HEALTH SERVICE |
| Practice Address |
15121 Tamiami Trl North Port FL 34287-2711 |
| Practice Telephone | 9414235183 |
| Practice Fax Number | 9414235184 |
| Mailing Telephone | 9414235183 |
| Mailing Fax Number | 9414235184 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | LAURIE J HOLTSFORD (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6154657466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS HHA | H8P | 01 |
| Other Name | Type Code |
|---|---|
| Peace River Home Health Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429590 | Port Charlotte Hma LLC | Medicare Defined Swing Bed Unit | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2020-05-19 |
| 1982933222 | Port Charlotte Hma LLC | General Acute Care Hospital | 15121 Tamiami Trl, North Port, FL 34287-2711 | 2009-12-16 |
| 1053364703 | Port Charlotte Hma LLC | General Acute Care Hospital | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2006-05-17 |
| Street Address |
15121 TAMIAMI TRL |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34287-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790002756 | Charlotte Nephrology Associates, Pa | Internal Medicine | 15121 Tamiami Trl, #a, North Port, FL 34287-2711 | 2010-04-29 |
| 1982933222 | Port Charlotte Hma LLC | General Acute Care Hospital | 15121 Tamiami Trl, North Port, FL 34287-2711 | 2009-12-16 |
| 1811168529 | Amedisys South Florida, L.L.C. | Home Health | 15121 Tamiami Trl, Suite F, North Port, FL 34287-2711 | 2008-03-20 |
| 1578646527 | Aaron Memon Dmd, Pa | Dentist | 15121 Tamiami Trl, Suite G, North Port, FL 34287-2737 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619323 | Fresenius Medical Care North Port, LLC | Clinic/Center | 12480 Tamiami Trl S, North Port, FL 34287 | 2018-05-14 |
| 1982106464 | Sweetwater Oaks Assisted Living | Assisted Living Facility | 2820 Pan American Blvd, North Port, FL 34287 | 2018-03-01 |
| 1114446218 | Shore Dental, LLC | Dentist | 4901 White Ibis Drive, North Port, FL 34287 | 2017-09-11 |
| 1245645191 | Timmy Truong | Podiatrist | 12757 S. Tamiami Trail, North Port, FL 34287 | 2014-06-29 |
| 1063833671 | Vitaly Rehab Incorporated | Clinic/Center | 12450 Timiami Trail, Suite-e, North Port, FL 34287 | 2013-12-27 |
| 1053744557 | Tiesha Quality Care, LLC. | In Home Supportive Care | 8767 Culebra Ave, North Port, FL 34287 | 2013-08-20 |
| 1811235427 | America's Best Contacts & Eyeglasses | Technician/Technologist | 18467 South Tamiami Trail, North Port, FL 34287 | 2013-01-17 |
| 1043557929 | Joseph E Lacombe | Pharmacist | 1291 S. Sumter Blvd, North Port, FL 34287 | 2013-01-11 |
| 1568621837 | Daniel M Barr Dc | Chiropractor | 4361 Aidan Ln, North Port, FL 34287 | 2008-06-03 |
| 1174712541 | Michael Dwayne Hibbs | Nurse Practitioner | 18659 Tamiami Trail, Suite A, North Port, FL 34287 | 2007-10-22 |
| Find all providers in zip 34287 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962955336 | M Home Care LLC | Home Health | 7349 Paragon Rd, North Port, FL 34291-5748 | 2016-08-02 |
| 1003255100 | Southwest Florida Home Healthcare Inc | Home Health | 3162 Cordova Ter, North Port, FL 34291-6228 | 2013-06-21 |
| 1326390683 | Carline Elizabeth Proux | Home Health | 4929 Hungary Rd, North Port, FL 34288-8744 | 2012-10-11 |
| 1992753768 | Housecall Home Health, LLC | Home Health | 14236 Tamiami Trl, North Port, FL 34287 | 2006-05-04 |
| 1205893633 | Personal Choice Home Health Services,inc. | Home Health | 5400 S Biscayne Dr, F, North Port, FL 34287-1932 | 2006-04-28 |
| 1174935134 | Active Home Care Inc. | Home Health | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2014-05-27 |
| 1215268016 | Miracle Care Home Health Agency Corp. | Home Health | 5400 S Biscayne Dr, Suite D, North Port, FL 34287-1932 | 2010-01-19 |
| 1811168529 | Amedisys South Florida, L.L.C. | Home Health | 15121 Tamiami Trl, Suite F, North Port, FL 34287-2711 | 2008-03-20 |
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|---|---|---|---|---|
| 1326649252 | The Bla Conglomeration LLC | Home Health | 560 Village Blvd Ste 120, West Palm Beach, FL 33409-1963 | 2020-11-06 |
| 1003417932 | Allcare Home Health LLC | Home Health | 2200 N Commerce Pkwy Ste 255, Weston, FL 33326-3258 | 2020-11-06 |
| 1396346383 | Happy At Home Healthcare, Inc. | Home Health | 1104 S Powerline Rd Ste 8, Pompano Beach, FL 33069-4310 | 2020-11-05 |
| 1740881986 | Healing Hands Home Health | Home Health | 6611 Us Highway 19 Ste 204, New Port Richey, FL 34652-1732 | 2020-11-04 |
| 1215538848 | Tender Care Med Group Corp | Home Health | 373 E 1st Ave, Hialeah, FL 33010-4807 | 2020-11-02 |
| 1447850185 | Latoya Butler | Home Health | 5710 Lenox Ave Apt 121, Jacksonville, FL 32205-6383 | 2020-10-30 |
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1588264519 | Kendra Renea Chambers | Home Health | 78 Sims Rd, Quincy, FL 32352-6431 | 2020-10-28 |
| 1366041899 | Tri-city Adult Day Care, Inc. | Home Health | 827 Vanderbilt Dr, Eustis, FL 32726-5251 | 2020-10-26 |
| 1841899333 | All In Homecare LLC | Home Health | 150 3rd St Sw Ste 205, Winter Haven, FL 33880-2907 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PORT |
| Zip Code | 34287 |
Please comment or provide details below to improve the information on PORT CHARLOTTE HMA LLC.
| 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.