Shanise Ford

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

510 S Marvin St
Monticello, FL 32344-2522

Phone

(850) 212-3030

NPI assigned

Sep 21, 2016

Last updated

Oct 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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

• Caring Hearts in-Home Care

  • Respite Care
  • Monticello, FL
  • NPI 1144778242
  NPD (past) Authorized official
• Caring Hearts in-Home Care, LLC

  • Adult Care Home Facility
  • Tallahassee, FL
  • NPI 1528518412
  Authorized official Same address or phone

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1467900233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084317",
            "telephone_number": "850-212-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S MARVIN ST",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323442522",
            "telephone_number": "850-212-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "SHANISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ellis, LMT
• Exiom, LLC (Exiom)
• Expanded Opportunities Outpatient Drug Treatment
• Melody Carol Fancher
• Florida Department of Health
• Shanomia Francis
• Frisby Healthcare Solutions Inc
• Gamez on the Move, LLC (Living Your Way)
• Amanda Christine Garcia, LMT
• Matthew J Grant, PHARMD

• Homemaker in Monticello, FL
• Providers in Monticello, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.