Elijahs Dream Compassionate Care
Clinic/Center (Primary Care)

Address: 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653
Phone: 4232999491

Elijahs Dream Compassionate Care (NPI# 1407486764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1407486764
Entity Type Organization
Organization Name ELIJAHS DREAM COMPASSIONATE CARE
Practice Address 134 Creekside Dr Ste 1
Ocoee
TN 37361-3653
Practice Telephone 4232999491
Practice Fax Number 4232999365
Mailing Address 2010 Foxfire Rd Ne
Cleveland
TN 37323-5739
Mailing Telephone 4233131865
Authorized Official Name Victoria Kinsey (PHYSICIAN)
Authorized Official Telephone 4233131865
Authorized Official Credential DO
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-01-24
Last Update Date 2020-01-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QP2300X Clinic/Center · Primary Care Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Office Location

Street Address 134 CREEKSIDE DR STE 1
City OCOEE
State TN
Zip Code 37361-3653

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740673235 Ocoee Pharmacy, Inc Pharmacy 186 Creekside Dr, Ocoee, TN 37361 2015-03-09
1376947085 Dora D. Trivette Nurse Practitioner 2020 Keith Street Nw, Suite C, Cleveland, TN 37361 2014-10-09
1326487752 Bethany Randolph Hogan Nurse Practitioner 119 Whitewater Drive, Bradley Polk Walk In Clinic and Medical Center, Ocoee, TN 37361 2013-06-19
1326055591 Preferred Oxygen LLC Durable Medical Equipment & Medical Supplies 134 Creekside Dr., Suite #2, Ocoee, TN 37361 2006-08-01
1952754707 Samuel Randolph Pharmacist 186 Creekside Dr, Ocoee, TN 37361 2016-07-18
1174921001 Tennessee Valley Bone and Joint, PC Orthopaedic Surgery 119 Whitewater Drive, Ocoee, TN 37361 2014-12-09
1568645091 David D Darden Preventive Medicine 1680 Sand Mountain Road, Ocoee, TN 37361-0335 2007-12-06
1912283458 Karen Milen Nurse Practitioner 400 Blackberry Ln, Ocoee, TN 37361-3456 2011-10-28
1114310224 Cooke Food Store Inc Pharmacy 116 White Water Dr, Ocoee, TN 37361-3644 2015-03-13
1760875686 Thad Huff Pharmacist 116 White Water Dr, Ocoee, TN 37361-3644 2015-03-17
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Competitor

Search similar providers

City OCOEE
Zip Code 37361

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Dataset Information

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.