Atisha Kaysan Reliford, CNA

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

CNA376604 Issued in FL

Practice address

4861 N Dixie Hwy Ste 203
Oakland Park, FL 33334-3940

Phone

(786) 445-0360

NPI assigned

Jul 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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.

• Absolute Support and Companion Services, LLC

  • In Home Supportive Care Agency
  • Tamarac, FL
  • NPI 1730730292
  NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1467188540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 N DIXIE HWY STE 203",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343940",
            "telephone_number": "954-588-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 N DIXIE HWY STE 203",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343940",
            "telephone_number": "786-445-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10595 SW 12th Mnr",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330253576",
            "country_code": "US",
            "telephone_number": "786-445-0360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RELIFORD",
        "first_name": "ATISHA",
        "middle_name": "KAYSAN",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA376604",
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "FL",
            "license": "CNA376604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "hard drive",
            "address_1": "10595 SW 12th Mnr",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330253576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Recovery Home Care, Inc.
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• Renaissance Spinal Care and Rehab LLC
• Restoration Counseling & Consulting,LLC
• Carla Guadalupe Reyes Rodriguez, 106S00000X
• Yanet Reyes Valdez, PHYSICIAN ASSISTANT
• Leovigildo J Reyes, M.D.

• Day Training/Habilitation Specialist in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Day Training/Habilitation Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.