LUCILLE GOTTSHALK (NPI# 1992152516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992152516 |
| Entity Type | Individual |
| Full Name | LUCILLE GOTTSHALK |
| Practice Address |
3071 Sw 2nd St Fort Lauderdale FL 33312-1207 |
| Mailing Address |
12222 191st St Springfield Gardens NY 11413-1055 |
| Practice Telephone | 6462488494 |
| Mailing Telephone | 6462488494 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 233696 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010887300 | 05 |
| Street Address |
3071 SW 2ND ST |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| 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 |
|---|---|---|---|---|
| 1861008211 | Gbrown Healtcare Enterprises | Home Health | 300 Se 2nd St Ste 600, Fort Lauderdale, FL 33301-1950 | 2020-09-21 |
| 1932715331 | Mhc Area 10, LLC | Home Health | 2699 Stirling Rd Unit 106, Fort Lauderdale, FL 33312-6517 | 2020-09-21 |
| 1154968865 | Holistic Lifecare Solutions, Inc | Home Health | 1711 Nw 26th Ter, Fort Lauderdale, FL 33311-4425 | 2019-12-02 |
| 1801449749 | American Senior Trust LLC | Home Health | 5129 Nw 30th Ln, Fort Lauderdale, FL 33309-3310 | 2019-07-19 |
| 1124544713 | Tikisha Monroe | Home Health | 2783 Nw 26th St, Fort Lauderdale, FL 33311-2009 | 2017-08-16 |
| 1568909307 | Compassion First Home Health Services LLC | Home Health | 5200 Nw 33rd Ave Ste 201, Fort Lauderdale, FL 33309-6398 | 2017-01-31 |
| 1134661911 | Integrated Health Services of America | Home Health | 601 Se 5th Ct Apt 201, Fort Lauderdale, FL 33301-2943 | 2016-11-10 |
| 1154874931 | Home Care Assistance of Ft. Lauderdale | Home Health | 5975 N Federal Hwy Ste 124, Fort Lauderdale, FL 33308-2685 | 2016-07-28 |
| 1679926588 | J&f Pt Pllc | Home Health | 440 Ne 4th Ave Unit 117, Fort Lauderdale, FL 33301-3445 | 2016-07-15 |
| 1326425695 | Miracles Can Happen | Home Health | 1451 Nw 62nd St Ste 300, Fort Lauderdale, FL 33309-1953 | 2015-05-06 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
Please comment or provide details below to improve the information on LUCILLE GOTTSHALK.
| 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.