PETERSON FAMILY CARE, LLC (NPI# 1962979369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962979369 |
| Entity Type | Organization |
| Organization Name | PETERSON FAMILY CARE, LLC |
| Practice Address |
3507 Lee Blvd Ste 273 Lehigh Acres FL 33971-1323 |
| Practice Telephone | 2397704235 |
| Practice Fax Number | 8882030442 |
| Mailing Telephone | 2397704235 |
| Mailing Fax Number | 8882030442 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | CHEVONE L. PETERSON (DIRECTOR) |
| Authorized Official Telephone | 2397704235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009279700 | 05 |
| Street Address |
3507 LEE BLVD STE 273 |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33971-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248096 | Katie L Kozlowski | Behavior Technician | 5220 Lee Boulevard, Bldg 6, Lehigh Acres, FL 33971 | 2020-08-31 |
| 1548821481 | Rosario Assisted Living Facility, Inc | Assisted Living Facility | 2616 22nd St W, Lehigh Acres, FL 33971 | 2019-06-21 |
| 1790340362 | Delia Hernandez | Behavior Technician | 2519 39th Street West, Lehigh Acres, FL 33971 | 2019-05-08 |
| 1669981122 | Ana Claudia Dormann | Specialist/Technologist | 5598 8th St West, Unit 3, Lehigh Acres, FL 33971 | 2017-09-27 |
| 1871803551 | The Joan of Arc Corporation | Day Training, Developmentally Disabled Services | 2618 44th Street West, Lehigh Acres, FL 33971 | 2010-10-15 |
| 1396970737 | Total Renal Care Inc | Clinic/Center | 5705 Lee Blvd Ste 16, Lehigh Acres, FL 33971 | 2009-05-28 |
| 1700039658 | Friendly Group Home Inc. | Day Training, Developmentally Disabled Services | 2602 50th Street West, Lehigh Acres, FL 33971 | 2008-10-23 |
| 1336266485 | Marjorie St.germain | Social Worker | 3709 9th Street Sw, Lehigh Acres, FL 33971 | 2007-03-23 |
| 1194841767 | Stanley Paul Blair | Dentist | 3003 Lee Blvd, Lehigh Acres, FL 33971 | 2007-03-22 |
| 1770652711 | Alan E Spinner | Chiropractor | 2718 Lee Boulevard, Suite C, Lehigh Acres, FL 33971 | 2006-11-06 |
| Find all providers in zip 33971 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154857167 | Lidia Kurquis | Day Training, Developmentally Disabled Services | 1823 Rockford Blvd, Lehigh Acres, FL 33936-5871 | 2017-05-11 |
| 1871803551 | The Joan of Arc Corporation | Day Training, Developmentally Disabled Services | 2618 44th Street West, Lehigh Acres, FL 33971 | 2010-10-15 |
| 1700039658 | Friendly Group Home Inc. | Day Training, Developmentally Disabled Services | 2602 50th Street West, Lehigh Acres, FL 33971 | 2008-10-23 |
| 1902417397 | Unique Essential Health Care LLC | Day Training, Developmentally Disabled Services | 1917 Gardner Ave, Lehigh Acres, FL 33936-5343 | 2020-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528361 | Where The Heart Is Home Care Services LLC | Day Training, Developmentally Disabled Services | 110 E Broad St Apt 204, Tampa, FL 33604-4132 | 2020-11-04 |
| 1801496674 | Brandon Martinez | Day Training, Developmentally Disabled Services | 1884 Sw 81st Way, Davie, FL 33324-4609 | 2020-10-29 |
| 1639779721 | The Unique Way LLC | Day Training, Developmentally Disabled Services | 1025 S Ohio Ave Apt 15, Lakeland, FL 33803-1283 | 2020-10-28 |
| 1821696394 | Devotion of Care LLC | Day Training, Developmentally Disabled Services | 1801 Nw 3rd St, Pompano Beach, FL 33069-2756 | 2020-10-15 |
| 1538767298 | Healthy Group Home Project, LLC. | Day Training, Developmentally Disabled Services | 849 Mulberry Ave, Panama City, FL 32401-2556 | 2020-10-15 |
| 1902404742 | Brite Life Adult Training Program, LLC | Day Training, Developmentally Disabled Services | 1300 Nw 95th St, Miami, FL 33147-3320 | 2020-10-14 |
| 1134727845 | Four Seasons Aba | Day Training, Developmentally Disabled Services | 6 Meridian Home Ln, Palm Coast, FL 32137-2402 | 2020-10-14 |
| 1760089429 | Helping Angels Thrive, Inc. | Day Training, Developmentally Disabled Services | 305 Providence Rd Apt 101, Brandon, FL 33511-4739 | 2020-10-06 |
| 1245847268 | Joshua R Grant | Day Training, Developmentally Disabled Services | 2405 Almeda St, Jacksonville, FL 32209-4632 | 2020-09-24 |
| 1417562257 | Peace of Mind Home Care Services | Day Training, Developmentally Disabled Services | 1102 Ray Charles Blvd Unit 314, Tampa, FL 33602-3050 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33971 |
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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.