Latanya Earnest
Individual provider Active NPI Skilled Nursing Facility · Heathrow, FL
NPI 1316137599 · NPPES record last updated Jul 25, 2007
Key facts
- NPI
- 1316137599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 03714 (OH)
- Practice address
- 1485 International Pkwy Ste 2051
Heathrow, FL 32746-5352 - Phone
- (800) 798-6035
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03714 | OH | MD | Skilled Nursing Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voyage Staffing | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 03714 | OH | Yes |
Addresses
Primary practice location
1485 International Pkwy Ste 2051
Heathrow, FL 32746-5352
Mailing address
749 Clinton Ave
Sidney, OH 45365-2111
Other providers in Heathrow, FL
- Dental Associates of Heathrow, LLC
- Laurin Derrick
- Kelli Dimond
- Colleen Donnelly
- Darrin Patrick Downing
- Sarah Eiseman
- John Ender
- Tracy Ender
- Fly Wheel Center FL LLC
- Justin Fojo
All providers in Heathrow, FL · Skilled Nursing Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.