Procare4life
NPI 1417629742ActiveOrganization· Clinic/Center, Developmental Disabilities· Davenport, FL
Clinic/Center, Developmental Disabilities in Davenport, Florida, registered in NPPES in October 2021. The authorized official on file is Brenda B. Coghiel, RN, Owner.
Overview
| NPI | 1417629742 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 5, 2021 |
| Last updated in NPPES | Oct 5, 2021 |
| Certified by provider | Oct 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Developmental Disabilities Primary | 261QD1600X | — | — |
| Nursing Care | 251J00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center, Developmental Disabilities providers in Davenport
- 1194383356
- 1992633861
- 1003569096
- 1295488286
- 1669001178
- 1316505522
All Clinic/Center, Developmental Disabilities providers in Florida