Delores McBride

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6907046 Issued in FL

Practice address

1502 Meadowbrook St
Lake Placid, FL 33852-5723

Phone

(863) 243-2896

Fax

(863) 531-3572

NPI assigned

Jan 14, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McBride, Delores

  dba Joy & Loving Care

  • Adult Care Home Facility
  • Lake Placid, FL
  • NPI 1740920081
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1326637232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 MEADOWBROOK ST",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338525723",
            "telephone_number": "863-243-2896",
            "fax_number": "863-531-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 MEADOWBROOK ST",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338525723",
            "telephone_number": "863-243-2896",
            "fax_number": "863-531-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "DELORES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": "FL",
            "license": "6907046",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6907046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mabel Marin
• Shannon Markland, LAC.
• Charlene Marsh, PTA
• Mary Katie Martinez
• Mary Josefyk DNP Aprn PA (Main Avenue Medical)
• McBride, Delores (Joy & Loving Care)
• Sabrena McCullough
• Guyron Levan Mills, DPT
• Mina B Bhatt MD PA
• Mindful Aspiration Life Skills LLC

• Adult Care Home Facility in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.