ILIANA STENIE GONZALEZ (NPI# 1942408828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942408828 |
| Entity Type | Individual |
| Full Name | ILIANA STENIE GONZALEZ |
| Practice Address |
508 Se Whitmore Dr Port St Lucie FL 34984-4560 |
| Practice Telephone | 7727857110 |
| Practice Fax Number | 7727857110 |
| Mailing Telephone | 7727857110 |
| Mailing Fax Number | 7727857110 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417512344 | Iliana Angelica Gonzalez | Behavior Technician | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2019-05-06 |
| Street Address |
508 SE WHITMORE DR |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34984-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426053 | Alyssa Raudebaugh-jackson | Behavior Technician | 247 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2020-01-14 |
| 1033680830 | Aaron Schamback, Dmd, Pa | Dentist | 155 Sw Port Saint Lucie Blvd, Suite #101, Port Saint Lucie, FL 34984 | 2018-12-06 |
| 1407343361 | St. Lucie Hope Gardens LLC | Assisted Living Facility | 337 Sw Grimaldo Teraace, Port Saint Lucie, FL 34984 | 2018-04-17 |
| 1205353091 | Rachelle Renae Tetreault | Acupuncturist | 451 S.e. Thanksgiiving Avenue, Port St. Lucie, FL 34984 | 2017-08-23 |
| 1598141913 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 710 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2015-08-07 |
| 1518201136 | Kerline Dimanche | Physical Therapy Assistant | 461 Se Lancaster Aveune, Port Saint Lucie, FL 34984 | 2012-11-20 |
| 1063776979 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 208 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2012-06-26 |
| 1851655849 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 | 2012-06-25 |
| 1003179003 | Judith Wray | Pharmacist | 281 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2012-06-25 |
| 1285925446 | Cindy Leahy | Specialist | 2181 Sw Bayshore Blvd, Port St Lucie, FL 34984 | 2011-04-22 |
| Find all providers in zip 34984 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588956320 | Eben-ezer Group Home | Respite Care | 1688 Sw Burlington St, Port St Lucie, FL 34984-3559 | 2011-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719604 | Kimberly D Dawkins | Respite Care | 742 Starland St Se, Palm Bay, FL 32909-4453 | 2020-10-31 |
| 1538776695 | Charismatic Relentless Care LLC | Respite Care | 5933 Nw Brenda Cir, Port Saint Lucie, FL 34986-3637 | 2020-09-23 |
| 1649898842 | Hearts&hands Care Agency Inc | Respite Care | 1567 Nw 29th Rd Apt 3, Gainesville, FL 32605-3066 | 2020-07-14 |
| 1114545035 | Careplus Services, Inc | Respite Care | 10005 Sw 91st Ter, Miami, FL 33176-1707 | 2020-07-07 |
| 1821615022 | Leon Advocacy and Resource Center, Inc. | Respite Care | 1949 Commonwealth Ln, Tallahassee, FL 32303-3196 | 2020-07-03 |
| 1861054801 | Jay Sweatt | Respite Care | 4280 70th Ave N, Pinellas Park, FL 33781-4549 | 2019-06-29 |
| 1114581907 | Kaidra Quantai Thonpkins | Respite Care | 118 Thistle Trl, Hawthonre, FL 32604 | 2019-04-26 |
| 1982160511 | Germitha Hora | Respite Care | 6460 Nw 28th St, Sunrise, FL 33313-1102 | 2019-02-19 |
| 1790258887 | Unlimited Healthcare Provider Inc | Respite Care | 2101 Vista Pkwy Ste 278, West Palm Beach, FL 33411-2706 | 2019-01-10 |
| 1891260832 | S & K's Home Health Inc | Respite Care | 4487 Sw 49th Ave, Ocala, FL 34474-9683 | 2018-10-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34984 |
Please comment or provide details below to improve the information on ILIANA STENIE GONZALEZ.
| 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.