Johnson, Shantana D
Johnson, Shantana D is an sole proprietor health care provider with primary practice located at 1920 Verano Dr Ste 105 , Haines City FL 33844-8585. She recently has 10 registered licenses in different health care specialties including Agencies / Foster Care Agency, Agencies / In Home Supportive Care, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Illness, Child, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care Camp, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Johnson, Shantana D can be contacted via phone (321) 217-2409.Contact Information
Primary practice address
1920 Verano Dr Ste 105
Haines City FL 33844-8585
Phone: (321) 217-2409
Fax: (855) 257-1340
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Foster Care Agency | 253J00000X | ||
Agencies / In Home Supportive Care | 253Z00000X | ||
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | ||
Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | ||
Nursing Service Related Providers / Homemaker | 376J00000X | ||
Respite Care Facility / Respite Care | 385H00000X | ||
Respite Care Facility / Respite Care Camp | 385HR2050X | ||
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | ||
Respite Care Facility / Respite Care, Physical Disabilities, Child | 385HR2065X | ||
Agencies / Home Health | 251E00000X | 299995365 | Florida |
Profile Details
NPI number | 1528734548 |
---|---|
LBN Legal business name | Johnson, Shantana D |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2021 |
Last updated | Jun 26th, 2024 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528734548 | NPPES |
Florida | MEDICAID | 022449300 | |
Florida | MEDICAID | 108545900 |
Popular Providers
-
Brewer, Lisa
301 Andover Pls 172 , Sun City Center FL 33573 -
Georges, Elize
815 S Volusia Ave Ste 3 , Orange City FL 32763-6576 -
Roberts, Mona Arthurene
336 Estates Ct , Haines City FL 33844-6448 -
Turkington, Kirsten O
10333 E Rockaway Hills Dr , Scottsdale AZ 85262-2901 -
Elice, Gerline
1514 S Alexander St Ste 202 , Plant City FL 33563-8418 -
Jacobs, Kwana
2763 Lighthouse Cove Rd Apt 106 , Orange City FL 32763-8387 -
Tartt-Walker, Sheba Hollywood
1001 E Baker St Ste 100 , Plant City FL 33563-3700 -
Dorcelus, Dane-Berly
835 Nw 5Th Ave Apt 306 , Florida City FL 33034-2142