MRS. SHANTANA D JOHNSON NPI 1528734548

NPI Information

  • NPI: 1528734548
  • Provider Name: MRS. SHANTANA D JOHNSON
  • Classification: Home Health - 251E00000X
  • Entity Type: Individual
  • Address: 1920 VERANO DR STE 105
    HAINES CITY, FL
    ZIP 33844
  • Phone: (321) 217-2409

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NPI Details

MRS. Shantana D Johnson is a home health in Haines City, FL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. MRS. Shantana D Johnson NPI is 1528734548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1920 VERANO DR STE 105
HAINES CITY, FL
ZIP 33844-585
Phone: (321) 217-2409
Fax: (855) 257-1340

The enumeration date for this NPI number is 8/19/2021 and was last updated on 6/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253J00000XFoster Care AgencyNo
2253Z00000XIn Home Supportive CareNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
5376J00000XHomemakerNo
6385H00000XRespite CareNo
7385HR2050XRespite CareRespite Care CampNo
8385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
9385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo
10251E00000XHome Health299995365FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1022449300MEDICAIDFLORIDA
2108545900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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