ADULT FAMILY CARE HOME DIRECTORY - ahca.myflorida.com · /HQA Report Folder/_AssistedLivingUnit 1...

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FIELD OFFICE CODE: 01 FACILITIES = 6 SLOTS = 28 COUNTY: ESCAMBIA FACILITIES = 5 Slots = 23 License #6906939 Expiry: 03/21/2020 Lic Type: AFCH Nbr Slots : 5 CORNER, KIMBERLY 7138 GLENDORA ST PENSACOLA, FL 32526 Phone: (850) 912-4419 Owner : CORNER, KIMBERLY A License #6905549 Expiry: 08/18/2020 Lic Type: AFCH Nbr Slots : 5 CROSBY, SANDRA TOLER 683 BULLARD AVE PENSACOLA, FL 32514-3248 Phone: (850) 542-4236 Owner : CROSBY, SANDRA TOLER License #6906454 Expiry: 12/06/2020 Lic Type: AFCH Nbr Slots : 5 ESTARES, JOHN V 3075 PARTRIDGE DR PENSACOLA, FL 32526-3607 Phone: (850) 384-7656 Owner : ESTARES, JOHN V License #82 Expiry: 08/07/2020 Lic Type: AFCH Nbr Slots : 4 FOWLER, GERTRUDE 100 PINEDA AVE PENSACOLA, FL 32503-3639 Phone: (850) 432-5044 Owner : FOWLER, GERTRUDE License #6905237 Expiry: 05/05/2019 Lic Type: AFCH Nbr Slots : 4 WESLEY, LENORA DIANN 7840 HERRINGTON DR PENSACOLA, FL 32534-4521 Phone: (850) 477-0914 Owner : WESLEY, LENORA D COUNTY: OKALOOSA FACILITIES = 1 Slots = 5 License #6906923 Expiry: 11/08/2019 Lic Type: AFCH Nbr Slots : 5 REEVES, NICOLE 2199 HAGOOD LOOP CRESTVIEW, FL 32536 Phone: (850) 398-6233 Owner : Reeves, Nicole Directory_AFCH /HQA Report Folder/_AssistedLivingUnit 1 of 44 ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019 AGENCY FOR HEALTH CARE ADMINISTRATION Active Facilities = 339 Total Slots = 1,538

Transcript of ADULT FAMILY CARE HOME DIRECTORY - ahca.myflorida.com · /HQA Report Folder/_AssistedLivingUnit 1...

FIELD OFFICE CODE: 01 FACILITIES = 6 SLOTS = 28

COUNTY: ESCAMBIA FACILITIES = 5 Slots = 23

License #6906939Expiry: 03/21/2020Lic Type: AFCHNbr Slots : 5

CORNER, KIMBERLY

7138 GLENDORA ST PENSACOLA, FL 32526

Phone: (850) 912-4419 Owner : CORNER, KIMBERLY A

License #6905549Expiry: 08/18/2020Lic Type: AFCHNbr Slots : 5

CROSBY, SANDRA TOLER

683 BULLARD AVE PENSACOLA, FL 32514-3248

Phone: (850) 542-4236 Owner : CROSBY, SANDRA TOLER

License #6906454Expiry: 12/06/2020Lic Type: AFCHNbr Slots : 5

ESTARES, JOHN V

3075 PARTRIDGE DR PENSACOLA, FL 32526-3607

Phone: (850) 384-7656 Owner : ESTARES, JOHN V

License #82Expiry: 08/07/2020Lic Type: AFCHNbr Slots : 4

FOWLER, GERTRUDE

100 PINEDA AVE PENSACOLA, FL 32503-3639

Phone: (850) 432-5044 Owner : FOWLER, GERTRUDE

License #6905237Expiry: 05/05/2019Lic Type: AFCHNbr Slots : 4

WESLEY, LENORA DIANN

7840 HERRINGTON DR PENSACOLA, FL 32534-4521

Phone: (850) 477-0914 Owner : WESLEY, LENORA D

COUNTY: OKALOOSA FACILITIES = 1 Slots = 5

License #6906923Expiry: 11/08/2019Lic Type: AFCHNbr Slots : 5

REEVES, NICOLE

2199 HAGOOD LOOP CRESTVIEW, FL 32536

Phone: (850) 398-6233 Owner : Reeves, Nicole

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

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ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

FIELD OFFICE CODE: 02 FACILITIES = 6 SLOTS = 23

COUNTY: HOLMES FACILITIES = 1 Slots = 4

License #6906720Expiry: 10/27/2020Lic Type: AFCHNbr Slots : 4

MANNERS-MORALES, JULIA

3570 MORALES DR BONIFAY, FL 32425-5538

Phone: (850) 263-7693 Owner : MANNERS-MORALES, JULIA

COUNTY: JACKSON FACILITIES = 1 Slots = 3

License #6906949Expiry: 06/11/2020Lic Type: AFCHNbr Slots : 3

NWABUEZE, DAN

856 SPEAR POINT LN GRACEVILLE, FL 32440

Phone: (717) 517-1594 Owner : NWABUEZE, DAN

COUNTY: LEON FACILITIES = 1 Slots = 4

License #6906951Expiry: 06/20/2020Lic Type: AFCHNbr Slots : 4

MCFORD-GREEN, ADRIANE

218 DAFFODIL CIR TALLAHASSEE, FL 32305

Phone: (850) 322-9900 Owner : MCFORD-GREEN, ADRIANE

COUNTY: MADISON FACILITIES = 2 Slots = 7

License #6906899Expiry: 04/02/2019Lic Type: AFCHNbr Slots : 2

HUNTER, JENNIFER SUSAN

1150 NE COUNTY RD 255 LEE, FL 32059

Phone: (850) 519-2658 Owner : HUNTER, LONNIE LUTHER

License #6906618Expiry: 07/08/2019Lic Type: AFCHNbr Slots : 5

MOBLEY, GLORIA

3704 NE ROCKY FORD RD MADISON, FL 32340-4020

Phone: (850) 212-3491 Owner : MOBLEY, GLORIA JEAN

COUNTY: WASHINGTON FACILITIES = 1 Slots = 5

License #6906928Expiry: 12/03/2019Lic Type: AFCHNbr Slots : 5

BELLAMY, ALEX

739 E BLVD CHIPLEY, FL 32428

Phone: (850) 703-1464 Owner : Bellamy, Alex

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ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

FIELD OFFICE CODE: 03 FACILITIES = 36 SLOTS = 160

COUNTY: ALACHUA FACILITIES = 2 Slots = 7

License #6906734Expiry: 01/01/2021Lic Type: AFCHNbr Slots : 4

SCOTT, CHARLENE

25035 NW 6TH AVE NEWBERRY, FL 32669

Phone: (352) 472-1902 Owner : SCOTT, CHARLENE

License #6906903Expiry: 05/23/2019Lic Type: AFCHNbr Slots : 3

SHEPPARD, JONELLE

18437 NW 232ND ST HIGH SPRINGS, FL 32655

Phone: (352) 339-0409 Owner : SHEPPARD, JONELLE SHANTA

COUNTY: BRADFORD FACILITIES = 2 Slots = 9

License #6906444Expiry: 10/17/2020Lic Type: AFCHNbr Slots : 5

ARMISTEAD, NAOMI JANACE

2876 SE 109TH ST STARKE, FL 32091-7461

Phone: (352) 468-2435 Owner : ARMISTEAD, NAOMI JANACE

License #6906643Expiry: 11/12/2019Lic Type: AFCHNbr Slots : 4

BUCHANAN, JEFFERY

5050 SE 135TH ST STARKE, FL 32091-6870

Phone: (904) 263-0055 Owner : BUCHANAN, JEFFERY SCOTT

COUNTY: CITRUS FACILITIES = 3 Slots = 15

License #6906910Expiry: 06/18/2019Lic Type: AFCHNbr Slots : 5

AFRICA, NORA

5618 N LECANTO HWY BEVERLY HILLS, FL 34465

Phone: (352) 513-2024 Owner : AFRICA, NOEL

License #6906316Expiry: 04/06/2019Lic Type: AFCHNbr Slots : 5

GREENE, KATHRYN R

575 W SHARP LN LECANTO, FL 34461-8601

Phone: (352) 746-7318 Owner : GREENE, KATHRYN R

License #6906930Expiry: 12/17/2019Lic Type: AFCHNbr Slots : 5

OWENS,CRYSTAL

5235 W BOATWRIGHT CT LECANTO, FL 34461

Phone: (352) 400-3672 Owner : Owens, Crystal

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ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

COUNTY: GILCHRIST FACILITIES = 1 Slots = 5

License #6906935Expiry: 01/21/2020Lic Type: AFCHNbr Slots : 5

TAYLOR, JESSICA

609 NW FOURTH AVE TRENTON, FL 32693

Phone: (386) 628-1459 Owner : TAYLOR, JESSICA DEANDRA

COUNTY: HERNANDO FACILITIES = 12 Slots = 52

License #6906821Expiry: 10/26/2019Lic Type: AFCHNbr Slots : 5

AGUILAR, BENJAMIN

6240 BRISTOL LN SPRING HILL, FL 34609-1230

Phone: (352) 556-3868 Owner : AGUILAR, BENJAMIN

License #6906670Expiry: 03/26/2020Lic Type: AFCHNbr Slots : 4

HARRELL, TERRY

15151 CAMROSE AVE SPRING HILL, FL 34610-6742

Phone: (727) 856-5569 Owner : HARRELL, TERRY PAIGE

License #6905728Expiry: 03/17/2020Lic Type: AFCHNbr Slots : 5

JONES, EVELYN

2197 ORCHARD PARK DR SPRING HILL, FL 34608-4973

Phone: (352) 688-9296 Owner : JONES, EVELYN

License #6905138Expiry: 03/03/2019Lic Type: AFCHNbr Slots : 4

LONG, CHERI L

1287 DELTONA BLVD SPRING HILL, FL 34606-4408

Phone: (352) 683-5255 Owner : CHERI LONG

License #47Expiry: 07/08/2019Lic Type: AFCHNbr Slots : 5

MCNEILL-POLLIAM, JEANINE

7338 SPRING HILL DR SPRING HILL, FL 34606-4343

Phone: (352) 683-6251 Owner : MCNEILL-PULLIAM, JEANINE MARY

License #6906585Expiry: 12/10/2020Lic Type: AFCHNbr Slots : 4

MUSUMECI, BARBARA

7130 MADRID RD WEEKI WACHEE, FL 34613-5324

Phone: (352) 600-7101 Owner : MUSUMECI, BARBARA ANN

License #6906787Expiry: 07/06/2019Lic Type: AFCHNbr Slots : 5

POLANCO, MARIA

1285 VALIANT AVE SPRING HILL, FL 34608-6041

Phone: (352) 515-1471 Owner : POLANCO, MARIA

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ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906601Expiry: 03/25/2019Lic Type: AFCHNbr Slots : 5

REYES, MARIBEL

10551 THORNBERRY DR SPRING HILL, FL 34608-2832

Phone: (352) 688-6383 Owner : REYES, MARIBEL

License #6906954Expiry: 07/02/2020Lic Type: AFCHNbr Slots : 3

STEPHENSON-CUNNINGHAM, DONET

13215 DON LOOP SPRING HILL, FL 34609

Phone: (917) 651-7718 Owner : Stephenson-Cunningham, Donet

License #6906706Expiry: 08/17/2020Lic Type: AFCHNbr Slots : 4

WARTHEN, SHARON

291 PLUMTREE AVE SPRING HILL, FL 34606-6155

Phone: (352) 600-7279 Owner : WARTHEN, SHARON DENISE

License #6906810Expiry: 09/16/2019Lic Type: AFCHNbr Slots : 4

WOLTER, ELSA H

19390 POWELL RD BROOKSVILLE, FL 34604-7057

Phone: (352) 799-9943 Owner : WOLTER, ELSA H

License #6906216Expiry: 04/28/2020Lic Type: AFCHNbr Slots : 4

YASSA, SAMEH SHAFIK

9302 GERONA ST SPRING HILL, FL 34608-5632

Phone: (352) 584-9431 Owner : YASSA, SAMEH

COUNTY: LAKE FACILITIES = 5 Slots = 23

License #6906855Expiry: 05/12/2020Lic Type: AFCHNbr Slots : 4

DARFUS, REBECCA H

36140 COUNTY ROAD 439 EUSTIS, FL 32736-8308

Phone: (352) 483-2010 Owner : DARFUS, REBECCA

License #6906852Expiry: 04/13/2018Lic Type: AFCHNbr Slots : 5

GRAY-LESLIE, ROWENA

27409 HAMMOCK VIEW CT YALAHA, FL 34797

Phone: (443) 801-8492 Owner : Gray-Leslie, Rowena

License #6906931Expiry: 12/18/2019Lic Type: AFCHNbr Slots : 4

MINCEY, MALISHAS C

525 E GOTTSCHE AVE EUSTIS, FL 32726-3607

Phone: (407) 928-1424 Owner : MINCEY, MALISHAS

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ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906829Expiry: 12/02/2019Lic Type: AFCHNbr Slots : 5

STANLEY, AMANDA

2494 HOLLY BERRY CIR CLERMONT, FL 34711-7693

Phone: (352) 989-4334 Owner : STANLEY, AMANDA ALISON

License #6906673Expiry: 04/06/2020Lic Type: AFCHNbr Slots : 5

THOMAS, BETTY

36154 GRAYS AIRPORT RD FRUITLAND PK, FL 34731-5484

Phone: (352) 272-2537 Owner : THOMAS, BETTY

COUNTY: LEVY FACILITIES = 2 Slots = 7

License #6906353Expiry: 08/02/2019Lic Type: AFCHNbr Slots : 3

JAMES, MARY VERDELL

1110 NE STATE ROAD 121 WILLISTON, FL 32696-9026

Phone: (352) 528-4887 Owner : JAMES, MARY VERDELL

License #6906181Expiry: 01/30/2020Lic Type: AFCHNbr Slots : 4

THOMAS, VANESSA SIMPSON

3731 NE 217TH CT WILLISTON, FL 32696-7048

Phone: (352) 528-3362 Owner : THOMAS, VANESSA SIMPSON

COUNTY: MARION FACILITIES = 8 Slots = 37

License #6906291Expiry: 12/11/2020Lic Type: AFCHNbr Slots : 5

BRENNAN, ROSELLE

11296 SE HIGHWAY 42 SUMMERFIELD, FL 34491-8635

Phone: (352) 307-0088 Owner : BRENNAN, ROSELLE E

License #6906918Expiry: 08/28/2019Lic Type: AFCHNbr Slots : 4

JOHNSON, JULIET

524 BAHIA TRACK TRL OCALA, FL 34472

Phone: (352) 292-3645 Owner : Johnson, Juliet

License #6906898Expiry: 03/30/2019Lic Type: AFCHNbr Slots : 4

JOHNSON, TONYA

15260 NW 29TH TERR REDDICK, FL 32686

Phone: (352) 857-4223 Owner : JOHNSON, TONYA ALICIA

License #6906064Expiry: 01/30/2021Lic Type: AFCHNbr Slots : 5

KAIBIGAN, CRISTETA

15660 SE 86TH CT SUMMERFIELD, FL 34491-5542

Phone: (352) 347-3484 Owner : KAIBIGAN, CRISTETA

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ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906809Expiry: 09/10/2019Lic Type: AFCHNbr Slots : 5

MURRAY, MARGARET S

11 CEDAR WAY OCALA, FL 34472-2828

Phone: (352) 789-8054 Owner : MURRAY, MARGARET S

License #6906378Expiry: 10/14/2019Lic Type: AFCHNbr Slots : 5

NEIL, KEREN S

29 PINE COURT LOOP OCALA, FL 34472-9095

Phone: (352) 680-0988 Owner : NEIL, KEREN STOKES

License #6906539Expiry: 03/21/2020Lic Type: AFCHNbr Slots : 5

RIVERS, CAMMIE

48 HEMLOCK RADL OCALA, FL 34472-8689

Phone: (352) 304-4466 Owner : RIVERS, CAMMIE

License #6905998Expiry: 05/30/2019Lic Type: AFCHNbr Slots : 4

WHITE-THOMPSON, RUBY

479 WATER RD OCALA, FL 34472-8239

Phone: (352) 426-1224 Owner : WHITE-THOMPSON, RUBY

COUNTY: SUMTER FACILITIES = 1 Slots = 5

License #6906818Expiry: 10/13/2019Lic Type: AFCHNbr Slots : 5

MARRION, ROSALIND

7247 NORMAN ST WEBSTER, FL 33597-9235

Phone: (352) 437-0202 Owner : MARRION, ROSALIND

FIELD OFFICE CODE: 04 FACILITIES = 41 SLOTS = 190

COUNTY: CLAY FACILITIES = 2 Slots = 10

License #6906875Expiry: 07/31/2020Lic Type: AFCHNbr Slots : 5

GUTING, BRENETH

2718 SHENANDOAH DR S ORANGE PARK, FL 32073-6628

Phone: (904) 602-5389 Owner : GUTING, BRENETH

License #6905291Expiry: 11/22/2019Lic Type: AFCHNbr Slots : 5

SWARTOUT, WILLIAM

4860 CHICKPEA ST MIDDLEBURG, FL 32068-5957

Phone: (904) 291-1962 Owner : SWARTOUT, WILLIAM

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ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

COUNTY: DUVAL FACILITIES = 15 Slots = 74

License #6906902Expiry: 05/01/2019Lic Type: AFCHNbr Slots : 5

ADONA, LILIBETH

1818 TOWNSEND BLVD JACKSONVILLE, FL 32211

Phone: (904) 652-6324 Owner : ADONA, LILIBETH

License #6906589Expiry: 01/07/2019Lic Type: AFCHNbr Slots : 5

BONNER, BELINDA RASHEED

4223 HOMER RD S JACKSONVILLE, FL 32209-1613

Phone: (904) 236-7051 Owner : BONNER, BELINDA RASHEED

License #6906332Expiry: 05/17/2019Lic Type: AFCHNbr Slots : 5

CAMPOS, MARINA L

10731 INDIES DR N JACKSONVILLE, FL 32246-8840

Phone: (904) 642-1374 Owner : CAMPOS, MARINA L

License #6906801Expiry: 08/25/2019Lic Type: AFCHNbr Slots : 4

COWART-BROWN, SHELIA DENISE

7604 CALVIN ST JACKSONVILLE, FL 32208-3407

Phone: (904) 207-3910 Owner : COWART-BROWN, SHELIA DENISE

License #6905339Expiry: 05/24/2020Lic Type: AFCHNbr Slots : 5

DOWDELL, DANIEL

1214 SAINT CLAIR ST JACKSONVILLE, FL 32254-2456

Phone: (904) 655-3207 Owner : DOWDELL, DANIEL

License #6906606Expiry: 04/25/2019Lic Type: AFCHNbr Slots : 5

JONES, EFFIE

3938 BRAMBLE RD JACKSONVILLE, FL 32210-4555

Phone: (904) 713-3352 Owner : JONES, EFFIE

License #6906945Expiry: 04/22/2020Lic Type: AFCHNbr Slots : 5

MARY SEERAM

4313 SAVANNAH AVE JACKSONVILLE, FL 32210

Phone: (904) 505-0273 Owner : SEERAM, MARY

License #6905332Expiry: 04/19/2019Lic Type: AFCHNbr Slots : 5

MONROE, ANNIE CAROL

8372 COUNTRY CREEK BLVD JACKSONVILLE, FL 32221-6685

Phone: (904) 783-9448 Owner : MONROE, ANNIE CAROL

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ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906679Expiry: 05/14/2020Lic Type: AFCHNbr Slots : 5

NOEL, WISLY

3431 BRAHMA BULL CIR N JACKSONVILLE, FL 32226-4879

Phone: (904) 554-6051 Owner : NOEL, WISLY

License #6906906Expiry: 05/30/2019Lic Type: AFCHNbr Slots : 5

OBI, MAKAELA

3130 KINGSTON ST JACKSONVILLE, FL 32254

Phone: (904) 728-7474 Owner : OBI, MAKAELA

License #6905876Expiry: 05/22/2019Lic Type: AFCHNbr Slots : 5

PAR, BEATRIZ

10120 LAKE VIEW RD W JACKSONVILLE, FL 32225-4436

Phone: (904) 738-7646 Owner : PAR, BEATRIZ

License #6906948Expiry: 06/11/2020Lic Type: AFCHNbr Slots : 5

RICHARDS, DEBRA

14121 DEVAN LEE DRIVE WEST JACKSONVILLE, FL 32226

Phone: (904) 379-0354 Owner : RICHARDS, DEBRA ALTHEA

License #33Expiry: 06/13/2019Lic Type: AFCHNbr Slots : 5

SHIPP, DELOIS

8942 6TH AVE JACKSONVILLE, FL 32208-2126

Phone: (904) 766-1850 Owner : SHIPP, DELOIS W

License #6906603Expiry: 03/28/2019Lic Type: AFCHNbr Slots : 5

ST HUBERT, AGELET

764 AQUA SURF CT JACKSONVILLE, FL 32225-0802

Phone: (904) 554-6051 Owner : AGELET ST HUBERT

License #6905691Expiry: 02/13/2020Lic Type: AFCHNbr Slots : 5

WASHINGTON, ETHEL

1963 W 17TH ST JACKSONVILLE, FL 32209-4775

Phone: (904) 355-4607 Owner : WASHINGTON, ETHEL

COUNTY: FLAGLER FACILITIES = 15 Slots = 66

License #6906777Expiry: 06/01/2019Lic Type: AFCHNbr Slots : 4

ALEXIS, MARIE ANTOINETTE

63 RYBERRY DR PALM COAST, FL 32164-6438

Phone: (386) 206-4831 Owner : ALEXIS, MARIE ANTOINETTE

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ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906778Expiry: 06/01/2019Lic Type: AFCHNbr Slots : 2

ALEXIS, MARIE GILIANNE

14 RICHELIEU LN PALM COAST, FL 32164-6546

Phone: (386) 437-9724 Owner : ALEXIS, MARIE GILIANNE

License #6906803Expiry: 09/01/2019Lic Type: AFCHNbr Slots : 4

ALVAREZ, JESSY

35 BARRING PL PALM COAST, FL 32137-8829

Phone: (386) 585-4252 Owner : ALVAREZ, JESSY

License #6906776Expiry: 05/27/2019Lic Type: AFCHNbr Slots : 4

ANTOINE, LITHA

47 PICKERING DR PALM COAST, FL 32164-7080

Phone: (386) 864-0707 Owner : ANTOINE, LITHA

License #6906482Expiry: 07/10/2019Lic Type: AFCHNbr Slots : 5

APOLLON, JOSEPH A

41 WOODLAWN DR PALM COAST, FL 32164-7915

Phone: (386) 931-9871 Owner : APOLLON, JOSEPH ALEX

License #6906793Expiry: 07/20/2019Lic Type: AFCHNbr Slots : 5

BLAKE, JAMES

11 WHITE FEATHER LN PALM COAST, FL 32164-3915

Phone: (386) 445-2111 Owner : BLAKE, JAMES

License #6906835Expiry: 01/06/2020Lic Type: AFCHNbr Slots : 5

BURTON, SOPHIA

119 BUD HOLLOW DR PALM COAST, FL 32137-3531

Phone: (386) 338-1978 Owner : BURTON, SOPHIA

License #6906885Expiry: 11/01/2020Lic Type: AFCHNbr Slots : 4

DEGUZMAN, FERDINAND & MARIE GERALDINE

42 PINE TREE DR PALM COAST, FL 32164-4836

Phone: (386) 263-2345 Owner : DE GUZMAN, FERDINAND G

License #6906496Expiry: 08/24/2019Lic Type: AFCHNbr Slots : 5

ETIENNE, MARC A

145 WHISPERING PINE DR PALM COAST, FL 32164-7256

Phone: (386) 445-8835 Owner : ETIENNE, MARC A

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ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906659Expiry: 02/06/2020Lic Type: AFCHNbr Slots : 5

ETIENNE, RICOT

33 ROXBORO DR PALM COAST, FL 32164-6966

Phone: (386) 338-8784 Owner : ETIENNE, RICOT A

License #6906936Expiry: 01/22/2020Lic Type: AFCHNbr Slots : 5

GRAYS, NICKIE L

17 FORT CAROLINE LN PALM COAST, FL 32137

Phone: (386) 338-8856 Owner : GRAYS, NICKIE LASHAWN

License #6906884Expiry: 10/27/2020Lic Type: AFCHNbr Slots : 4

JOHNSON, LESLIE

66 SLOGANEER TRL PALM COAST, FL 32164-5324

Phone: (386) 503-1290 Owner : JOHNSON, LESLIE SUE

License #6906826Expiry: 12/01/2019Lic Type: AFCHNbr Slots : 5

LOUIS, MARIE ERLYNE

19 BURNING WICK PL PALM COAST, FL 32137-8802

Phone: (386) 631-0432 Owner : LOUIS, MARIE ERLYNE

License #6906891Expiry: 01/10/2021Lic Type: AFCHNbr Slots : 5

ORCEL, ROSEMARGARETT

10 RIDDLE DR PALM COAST, FL 32164-6525

Phone: (386) 338-8336 Owner : ORCEL, ROSEMARGARET

License #6906847Expiry: 03/15/2020Lic Type: AFCHNbr Slots : 4

TRASYBULE, GUIRLANDE

32 RYLAND DR PALM COAST, FL 32164-6416

Phone: (386) 313-5128 Owner : TRASYBULE, GUIRLANDE

COUNTY: VOLUSIA FACILITIES = 9 Slots = 40

License #6906907Expiry: 05/31/2019Lic Type: AFCHNbr Slots : 5

AIKEN, WINSOME

999 S AMELIA AVE DELAND, FL 32724-6905

Phone: (386) 279-8603 Owner : AIKEN, WINSOME

License #6905595Expiry: 02/12/2020Lic Type: AFCHNbr Slots : 5

CAEDO-COLLINS, TERESITA

2555 GLENCOE FARMS RD NEW SMYRNA, FL 32168-9392

Phone: (386) 426-7859 Owner : CAEDO-COLLINS, TERESITA

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

11 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906736Expiry: 01/08/2021Lic Type: AFCHNbr Slots : 5

CLARK, ELLEN

1644 ALANSON DR DELAND, FL 32724-7907

Phone: (386) 873-7407 Owner : CLARK, ELLEN

License #6906318Expiry: 04/16/2021Lic Type: AFCHNbr Slots : 2

FIELLO, SUSAN ELIZABETH

1721 VICTORY PALM DR EDGEWATER, FL 32132-3114

Phone: (386) 690-9036 Owner : FIELLO, SUSAN ELIZABETH

License #6906460Expiry: 01/30/2021Lic Type: AFCHNbr Slots : 5

MATUSIK, DEBBIE

1580 PETERSON RD ORANGE CITY, FL 32763-8723

Phone: (386) 337-4090 Owner : MATUSIK, DEBBIE HANSRAJDAI

License #6906919Expiry: 08/28/2019Lic Type: AFCHNbr Slots : 5

QUINONES-RIVERA, MILAGROS

2871 VALMONT LN DELTONA, FL 32738

Phone: (321) 420-2952 Owner : Quinones-Rivera, Milagros

License #6906553Expiry: 05/28/2020Lic Type: AFCHNbr Slots : 3

RANSOM, FRANCES

3172 N COVINGTON DR DELTONA, FL 32738-1675

Phone: (386) 215-2909 Owner : RANSOM, FRANCES

License #6906943Expiry: 04/12/2020Lic Type: AFCHNbr Slots : 5

ROBINSON, WAVOKA

1289 MAYTOWN RD OAK HILL, FL 32759-9103

Phone: (386) 345-2022 Owner : ROBINSON, WAVOKA

License #6906574Expiry: 10/21/2020Lic Type: AFCHNbr Slots : 5

TIMOGENE, MARIE M

2933 COTTAGEVILLE ST DELTONA, FL 32738-9791

Phone: (386) 259-4435 Owner : TIMOGENE, MARIE

FIELD OFFICE CODE: 05 FACILITIES = 26 SLOTS = 119

COUNTY: PASCO FACILITIES = 9 Slots = 43

License #6906246Expiry: 07/15/2020Lic Type: AFCHNbr Slots : 5

FRAYNE, SHIELA ROSE

2730 BLUESLATE CT LAND O LAKES, FL 34638-6088

Phone: (813) 909-8582 Owner : FRAYNE, SHIELA ROSE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

12 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6905585Expiry: 12/04/2019Lic Type: AFCHNbr Slots : 4

HOPKINS, EDITH LOUISE

7425 HACKAMORE RD ZEPHYRHILLS, FL 33541-9207

Phone: (813) 779-8831 Owner : HOPKINS, EDITH

License #6905760Expiry: 05/31/2020Lic Type: AFCHNbr Slots : 5

MCCARRON, STEPHANIE

6163 MAPLEWOOD DR NEW PRT RCHY, FL 34653-4734

Phone: (727) 849-6998 Owner : MCCARRON, STEPHANIE L

License #6906035Expiry: 10/03/2019Lic Type: AFCHNbr Slots : 5

MCFETRIDGE, TERESA

5714 MONROE ST NEW PRT RCHY, FL 34653-4260

Phone: (727) 255-3746 Owner : MC FETRIDGE, TERESA

License #6906552Expiry: 05/16/2020Lic Type: AFCHNbr Slots : 5

OTHMER, NORMA DOREEN

22707 RODERICK DR LAND O LAKES, FL 34639-4098

Phone: (813) 388-2818 Owner : OTHMER, NORMA DOREEN

License #6906848Expiry: 03/27/2020Lic Type: AFCHNbr Slots : 4

PRICE, TINA

1201 LODESTAR DR HOLIDAY, FL 34690-6518

Phone: (727) 940-3650 Owner : PRICE, TINA

License #6906371Expiry: 09/21/2019Lic Type: AFCHNbr Slots : 5

SANTOS, ESMERALDA M

9421 BARRINGTON LN PORT RICHEY, FL 34668-4456

Phone: (727) 863-3017 Owner : SANTOS, ESMERALDA M.

License #6906028Expiry: 09/21/2019Lic Type: AFCHNbr Slots : 5

TAYLOR, ROBERT E

8905 HARVEY LN PORT RICHEY, FL 34668-5212

Phone: (727) 848-2071 Owner : TAYLOR, ROBERT

License #6906958Expiry: 08/07/2020Lic Type: AFCHNbr Slots : 5

TOLEDO, WENDY DEL ROSARIO

7101 GREEN ST NEW PORT RICHEY, FL 34652

Phone: (813) 369-2501 Owner : TOLEDO-MACHADO, WENDY DEL

ROSARIO

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

13 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

COUNTY: PINELLAS FACILITIES = 17 Slots = 76

License #6906967Expiry: 10/22/2020Lic Type: AFCHNbr Slots : 5

ADHIKARI, JONATHAN & SUSAN BAROI-

1211 LOTUS PATH CLEARWATER, FL 33756

Phone: (917) 304-8172 Owner : Adhikari, Jonathan

License #6906976Expiry: 12/17/2020Lic Type: AFCHNbr Slots : 5

BAKER, BRANDON D

2527 10TH AVE SOUTH SAINT PETERSBURG, FL 33712

Phone: (727) 318-1017 Owner : BAKER, BRANDON

License #6906414Expiry: 05/05/2018Lic Type: AFCHNbr Slots : 3

BAKER, KATRINA ROBINSON

1553 CLARK ST CLEARWATER, FL 33755-3510

Phone: (727) 447-4685 Owner : BAKER, KATRINA ROBINSON

License #6906324Expiry: 04/28/2019Lic Type: AFCHNbr Slots : 5

BAKER, ROSE

1305 WOODBINE ST CLEARWATER, FL 33755-2747

Phone: (727) 515-3766 Owner : BAKER, ROSE

License #6906812Expiry: 09/22/2019Lic Type: AFCHNbr Slots : 5

BOSTIC, SHALONDRIA

1575 52ND AVE N ST PETERSBURG, FL 33703-2629

Phone: (727) 550-7076 Owner : BOSTIC, SHALONDRIA

License #6906725Expiry: 10/30/2020Lic Type: AFCHNbr Slots : 5

BRAIDE, ALTERMAE

2426 19TH ST S ST PETERSBURG, FL 33712-3618

Phone: (727) 686-9595 Owner : BRAIDE, ALTERMAE

License #6906937Expiry: 02/01/2020Lic Type: AFCHNbr Slots : 5

GASPAR, JUANITO

1224 ADAMS AVE CLEARWATER, FL 33756

Phone: (727) 441-2942 Owner : GASPAR, JUANITO

License #6906767Expiry: 05/06/2019Lic Type: AFCHNbr Slots : 5

GEORGE JR, CURTIS

24 FRESHWATER DR PALM HARBOR, FL 34684-1106

Phone: (813) 468-7384 Owner : GEORGE, CURTIS

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

14 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906963Expiry: 10/15/2020Lic Type: AFCHNbr Slots : 3

GERARD, KESLER

2135 68TH TERR S SAINT PETERSBURG, FL 33712

Phone: (727) 656-6745 Owner : GERARD, KESLER

License #6906830Expiry: 12/06/2019Lic Type: AFCHNbr Slots : 5

HAYNES, KATIE M

4123 WHITING DR SE ST PETERSBURG, FL 33705-4061

Phone: (727) 821-3930 Owner : HAYNES, KATIE M

License #23Expiry: 11/10/2019Lic Type: AFCHNbr Slots : 3

KALENA, EVALOU

823 SCOTLAND ST DUNEDIN, FL 34698-7126

Phone: (727) 733-8304 Owner : KALENA, EVALOU

License #6906897Expiry: 03/20/2019Lic Type: AFCHNbr Slots : 5

LANE, ALAN

1710 HARBOR DR CLEARWATER, FL 33755-1825

Phone: (727) 643-8050 Owner : LANE, ALAN

License #6906786Expiry: 06/30/2019Lic Type: AFCHNbr Slots : 5

PRUDENT, LESLY & LISE ANTOINE LAURELLE BLANCHARD

5028 34TH AVE N ST PETERSBURG, FL 33710-2116

Phone: (727) 289-1439 Owner : PRUDENT, LESLY & LISE ANTOINE

LAURELLE BLANCHARD

License #6906228Expiry: 05/22/2020Lic Type: AFCHNbr Slots : 5

RAMDASS, RITA RUBINA

9047 7TH ST N ST PETERSBURG, FL 33702-3003

Phone: (727) 577-5030 Owner : RAMDASS, RITA RUBINA

License #6906942Expiry: 04/05/2020Lic Type: AFCHNbr Slots : 5

RAMJATTAN, BEATRICE

121 AUGUSTA AVE PALM HARBOR, FL 34683

Phone: (813) 323-8484 Owner : CROW, LAWRENCE

License #6905445Expiry: 08/02/2019Lic Type: AFCHNbr Slots : 3

RUIZ, BEVERLY ANN

2814 EDWARDS AVE S ST PETERSBURG, FL 33705-3653

Phone: (727) 642-6894 Owner : RUIZ, BEVERLY BROADNAX

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

15 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6905697Expiry: 11/25/2019Lic Type: AFCHNbr Slots : 4

VIOLETTE, KEITH THOMAS

350 69TH ST N CLEARWATER, FL 33764-7138

Phone: (727) 831-3502 Owner : VIOLETTE, KEITH T

FIELD OFFICE CODE: 06 FACILITIES = 62 SLOTS = 280

COUNTY: HILLSBOROUGH FACILITIES = 39 Slots = 175

License #6906856Expiry: 05/16/2020Lic Type: AFCHNbr Slots : 4

ANOZARD, BEATRICE

7525 DRAGON FLY LOOP GIBSONTON, FL 33534-5648

Phone: (954) 213-4855 Owner : ANOZARD, BEATRICE

License #6905996Expiry: 05/19/2020Lic Type: AFCHNbr Slots : 3

BISNATH, JUDY

212 W LINEBAUGH AVE TAMPA, FL 33612-7936

Phone: (813) 932-8307 Owner : BISNATH, JUDY

License #6906713Expiry: 09/30/2020Lic Type: AFCHNbr Slots : 3

BUCHANAN, OLIVER

11750 STERLING RD THONOTOSASSA, FL 33592-2122

Phone: (813) 986-1278 Owner : BUCHANAN, OLIVER P

License #6905194Expiry: 11/17/2019Lic Type: AFCHNbr Slots : 5

BURSTON, CARRIE DELL

3202 E 25TH AVE TAMPA, FL 33605-2142

Phone: (813) 248-1571 Owner : BURSTON, CARRIE DELL

License #6906924Expiry: 11/08/2019Lic Type: AFCHNbr Slots : 5

BURSTON, LUWANNA DELL

6205 N 37TH ST TAMPA, FL 33610

Phone: (813) 716-9358 Owner : BURSTON, LUWANNA

License #6906154Expiry: 11/01/2019Lic Type: AFCHNbr Slots : 5

CHANG, RAMON

2607 W HUMPHREY ST TAMPA, FL 33614-1824

Phone: (813) 936-2273 Owner : CHANG, RAMON

License #6905498Expiry: 04/27/2020Lic Type: AFCHNbr Slots : 4

CONNATSER, SARAH JANE

14576 BLACKJACK RD DOVER, FL 33527-4300

Phone: (813) 719-2919 Owner : CONNATSER, SARAH JANE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

16 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906022Expiry: 07/30/2020Lic Type: AFCHNbr Slots : 4

COX, NETTIE

1536 CREEKBEND DR BRANDON, FL 33510-2351

Phone: (813) 651-9572 Owner : COX, NETTIE

License #6906748Expiry: 02/19/2021Lic Type: AFCHNbr Slots : 5

DAIGLE, ELRIDGE JR

10507 SEDGEBROOK DR RIVERVIEW, FL 33569-8701

Phone: (813) 672-3880 Owner : DAIGLE, ELRIDGE

License #6906199Expiry: 03/19/2020Lic Type: AFCHNbr Slots : 3

DHANIERAM, BARBARA PATRICIA

11320 TORREY PINES DR RIVERVIEW, FL 33579-7041

Phone: (813) 383-7162 Owner : DHANIERAM, BARBARA PATRICIA

License #6906877Expiry: 08/09/2020Lic Type: AFCHNbr Slots : 5

ELISCARD, JONALDINE

934 MEADOW GLADE DR RUSKIN, FL 33570

Phone: (941) 565-9193 Owner : JONALDINE, ELISCARD

License #6906663Expiry: 02/19/2020Lic Type: AFCHNbr Slots : 5

FILS-AIME, NADEGE

305 VINE CLIFF ST RUSKIN, FL 33570-4935

Phone: (813) 562-0385 Owner : FILS AIME, NADEGE

License #29073Expiry: 02/24/2020Lic Type: AFCHNbr Slots : 4

FRANCIS, RUBY

11806 STERLING RD THONOTOSASSA, FL 33592-2124

Phone: (813) 986-1910 Owner : FRANCIS, RUBY

License #6906814Expiry: 09/30/2019Lic Type: AFCHNbr Slots : 5

FRANCOEUR, MARIE JOSEE

8206 ABBEY MIST CV TAMPA, FL 33619-6612

Phone: (813) 479-3591 Owner : FRANCOEUR, MARIE JOSEE

License #6906815Expiry: 10/05/2019Lic Type: AFCHNbr Slots : 4

GREEN, ELIZABETH

3203 PINELLAS PL TAMPA, FL 33619-6539

Phone: (813) 280-9795 Owner : GREEN, ELIZABETH

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

17 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906893Expiry: 02/07/2019Lic Type: AFCHNbr Slots : 5

GREEN-TOLEDO, HEATHER

1807 S VALRICO RD VALRICO, FL 33596-5236

Phone: (813) 469-6764 Owner : GREEN-TOLEDO, HEATHER ELAINE

License #6906953Expiry: 07/02/2020Lic Type: AFCHNbr Slots : 4

HAMMOND, TONIA

3819 BEECHWOOD BLVD TAMPA, FL 33619

Phone: (813) 622-8606 Owner : Hammond, Tonia

License #29016Expiry: 04/27/2020Lic Type: AFCHNbr Slots : 4

HAUGHBROOK, GUSSIE P

2501 SR 60 E PLANT CITY, FL 33567-3829

Phone: (813) 737-1335 Owner : HAUGHBROOK, GUSSIE

License #6906197Expiry: 03/12/2020Lic Type: AFCHNbr Slots : 5

HEPBURN, GLORIA R

8616 FISH LAKE RD TAMPA, FL 33619-4929

Phone: (813) 758-5393 Owner : HEPBURN, GLORIA RICHARDSON

License #6906609Expiry: 05/06/2019Lic Type: AFCHNbr Slots : 5

JOHNSON, DEANNA C

2325 W PINE ST TAMPA, FL 33607-3456

Phone: (813) 251-8506 Owner : JOHNSON, DEANNA CELES

License #2920Expiry: 10/21/2020Lic Type: AFCHNbr Slots : 3

JONES, AGATHA

1306 SEFFNER VALRICO RD SEFFNER, FL 33584-6159

Phone: (813) 651-9532 Owner : JONES, AGATHA

License #6905766Expiry: 06/16/2020Lic Type: AFCHNbr Slots : 5

KELLY, EMMA

509 CALHOUN AVE SEFFNER, FL 33584-3614

Phone: (813) 571-2235 Owner : KELLY, EMMA LEE

License #6905476Expiry: 11/26/2019Lic Type: AFCHNbr Slots : 5

LESTER, PATRICIA ANN

4307 E POWHATAN AVE TAMPA, FL 33610-4640

Phone: (813) 632-1392 Owner : LESTER, PATRICIA

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

18 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906889Expiry: 12/04/2020Lic Type: AFCHNbr Slots : 5

LLANOS, LAWANZA

1911 E 143RD AVE TAMPA, FL 33613-2536

Phone: (813) 562-3555 Owner : LLANOS, LAWANZA

License #6905380Expiry: 10/24/2019Lic Type: AFCHNbr Slots : 5

MARIN, MARIA LUISA

2915 W TAMPA BAY BLVD TAMPA, FL 33607-1232

Phone: (813) 348-4109 Owner : MARIN, MARIA LUISA

License #6906362Expiry: 08/20/2019Lic Type: AFCHNbr Slots : 3

MENTOR, ROSIA

6723 N 13TH ST TAMPA, FL 33604-5614

Phone: (813) 237-0617 Owner : MENTOR, ROSIA BAGLEY

License #6906886Expiry: 11/09/2020Lic Type: AFCHNbr Slots : 5

MERISIER, ZACHEE

3220 LINDELL AVE TAMPA, FL 33610-7862

Phone: (813) 732-2350 Owner : MERISIER, ZACHEE

License #6906740Expiry: 01/13/2019Lic Type: AFCHNbr Slots : 5

MILLER, JUANITA

510 WYNNWOOD DR BRANDON, FL 33511-7999

Phone: (813) 385-8188 Owner : MILLER, JUANITA

License #6906863Expiry: 06/07/2020Lic Type: AFCHNbr Slots : 5

NOEL, NATACHA

1014 CRISTELLE JEAN DR RUSKIN, FL 33570-7938

Phone: (813) 325-2581 Owner : NOEL, NATACHA

License #6906833Expiry: 12/29/2019Lic Type: AFCHNbr Slots : 4

OLAJIDE, LAUREL

13119 FENNWAY RIDGE DR RIVERVIEW, FL 33579-7160

Phone: (813) 579-0243 Owner : OLAJIDE, LAUREL

License #6906850Expiry: 04/12/2020Lic Type: AFCHNbr Slots : 5

ROBERTS, RICHARD

4906 S 81ST ST TAMPA, FL 33619-7020

Phone: (813) 546-0891 Owner : ROBERTS, RICHARD

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

19 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906469Expiry: 04/13/2019Lic Type: AFCHNbr Slots : 5

SALOMON, SANDRA M

1004 LARWOOD PINE DR RUSKIN, FL 33570-5334

Phone: (813) 476-8875 Owner : SALOMON, SANDRA MARIE

License #6906802Expiry: 08/25/2019Lic Type: AFCHNbr Slots : 5

SIMEON, MARIE ELIDIANE

8206 PENNYWELL PL TAMPA, FL 33615-1625

Phone: (813) 445-9763 Owner : SIMEON, MARIE ELIDIANE

License #6906758Expiry: 03/31/2019Lic Type: AFCHNbr Slots : 5

STEPHENS-OATMAN, OVIA V

4220 BALINGTON DR VALRICO, FL 33596-8489

Phone: (813) 684-5316 Owner : STEPHENS-OATMAN, OVIA VONCILE

License #6906580Expiry: 11/14/2020Lic Type: AFCHNbr Slots : 4

THOMPSON, NOVLETTE

3204 N 16TH ST TAMPA, FL 33605-1822

Phone: (813) 458-4442 Owner : THOMPSON, NOVLETTE YVONNE

License #6906834Expiry: 01/03/2020Lic Type: AFCHNbr Slots : 4

TILLMAN, KATHERINE

8119 N MULBERRY ST TAMPA, FL 33604-3443

Phone: (813) 410-6159 Owner : TILLMAN, KATHERINE NICOLE

License #6906980Expiry: 02/13/2021Lic Type: AFCHNbr Slots : 5

TOLEDO, ENRIQUE

1307 N ORANGE ST PLANT CITY, FL 33563

Phone: (813) 727-2873 Owner : TOLEDO, ENRIQUE

License #6905877Expiry: 05/22/2019Lic Type: AFCHNbr Slots : 5

VEREEN, ROBERT PONDER

10010 BENJAMIN SMITH DR THONOTOSASSA, FL 33592-3367

Phone: (813) 986-9003 Owner : VEREEN, ROBERT PONDER

License #6906908Expiry: 06/04/2019Lic Type: AFCHNbr Slots : 5

WALLACE, DEBRA ANN

5608 KENNY DR TAMPA, FL 33617

Phone: (813) 546-4884 Owner : WALLACE, DEBRA

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

20 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

COUNTY: MANATEE FACILITIES = 6 Slots = 27

License #6906861Expiry: 05/26/2020Lic Type: AFCHNbr Slots : 5

BEST, VANESSA

4222 30TH LN E BRADENTON, FL 34208-7383

Phone: (518) 859-1254 Owner : BEST, VANESSA LYNN

License #6905860Expiry: 04/05/2020Lic Type: AFCHNbr Slots : 5

CARLEY, JOHN & SHIRLEY

3105 CANAL RD PALMETTO, FL 34221-2446

Phone: (941) 722-1082 Owner : CARLEY, SHIRLEY

License #6906624Expiry: 07/22/2019Lic Type: AFCHNbr Slots : 5

FORCILUS, ELMITA

1712 24TH ST E PALMETTO, FL 34221-6452

Phone: (941) 981-5903 Owner : FORCILUS, ELMITA

License #6906892Expiry: 01/26/2021Lic Type: AFCHNbr Slots : 2

HENDERSON, CARLA

5103 19TH CT E BRADENTON, FL 34203

Phone: (941) 345-0974 Owner : HENDERSON, CARLA

License #6906638Expiry: 10/08/2019Lic Type: AFCHNbr Slots : 5

MAYS, EUGENIA D

2606 4TH ST E BRADENTON, FL 34208-3813

Phone: (941) 580-0622 Owner : MAYS, EUGENIA DELPHINE

License #6906845Expiry: 03/02/2020Lic Type: AFCHNbr Slots : 5

SAINT-LOUIS, MARIE YVROSE

5302 65TH TER E ELLENTON, FL 34222-4033

Phone: (941) 447-3455 Owner : SAINT-LOUIS, MARIE YVROSE

COUNTY: POLK FACILITIES = 17 Slots = 78

License #6906970Expiry: 10/29/2020Lic Type: AFCHNbr Slots : 4

ADAMS, KIMBERLY

4681 MANDOLN LOOP WINTER HAVEN, FL 33884

Phone: (863) 215-2667 Owner : ADAMS, KIMBERLY

License #6906896Expiry: 03/05/2019Lic Type: AFCHNbr Slots : 2

BARNES, DENISE

608 BLUEBILL CT POINCIANA, FL 34759

Phone: (321) 441-6021 Owner : BARNES, DENISE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

21 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906961Expiry: 09/25/2020Lic Type: AFCHNbr Slots : 5

BOATWRIGHT, HESLUNE

7225 TWIN CEDAR LN LAKELAND, FL 33810

Phone: (863) 232-8486 Owner : BOATWRIGHT, HESLUNE

License #6906761Expiry: 04/06/2019Lic Type: AFCHNbr Slots : 5

BROWN, JOVITA MOISE

2411 DORADO AVE HAINES CITY, FL 33844-4944

Phone: (863) 614-4146 Owner : MOISE-BROWN, JOVITA MOISE

License #6906977Expiry: 12/18/2020Lic Type: AFCHNbr Slots : 5

CAZEAU, MICHELET

724 CHINA BERRY CIR DAVENPORT, FL 33837

Phone: (908) 463-9079 Owner : CAZEAU, MICHELET

License #6906660Expiry: 02/16/2020Lic Type: AFCHNbr Slots : 5

DOUGLAS, JUDITH BARRETT

3988 HAMPTON HILLS DR LAKELAND, FL 33810-3841

Phone: (410) 245-8685 Owner : DOUGLAS, JUDITH MONICA

BARRETT

License #6906039Expiry: 10/09/2019Lic Type: AFCHNbr Slots : 5

FLENER, JENNIFER NICHOLE

4740 FIGHTER RD BARTOW, FL 33830-9684

Phone: (863) 534-1081 Owner : FLENER, JENNIFER NICHOLE

License #6906492Expiry: 08/11/2019Lic Type: AFCHNbr Slots : 5

HANNA, MURIEL

111 LAKE DAVENPORT ESTATES DR DAVENPORT, FL 33897-8553

Phone: (407) 451-0171 Owner : HANNA, MURIEL

License #6906156Expiry: 11/06/2019Lic Type: AFCHNbr Slots : 5

MARSHALL, COLLEEN ANITA

5615 ROYAL HILLS ST WINTER HAVEN, FL 33881-7703

Phone: (863) 307-1298 Owner : MARSHALL, COLLEEN ANITA

License #6906490Expiry: 08/02/2019Lic Type: AFCHNbr Slots : 5

MCGORDON, JACQUELINE

1038 N WALKER AVE LAKELAND, FL 33805-4276

Phone: (863) 934-8028 Owner : MCGORDON, JACQUELINE GALE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

22 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906764Expiry: 04/21/2019Lic Type: AFCHNbr Slots : 5

MOORE, CAYONNA M

3805 MCKINLEY DR WINTER HAVEN, FL 33880-5017

Phone: (863) 662-0550 Owner : MOORE, CAYONNA M

License #6906270Expiry: 09/24/2020Lic Type: AFCHNbr Slots : 5

MORAME, JULIA

5500 WATKINS RD HAINES CITY, FL 33844-6254

Phone: (863) 269-9753 Owner : MORAME, JULIA

License #6906588Expiry: 12/27/2020Lic Type: AFCHNbr Slots : 5

OBRY, GENA

439 AVENUE D SE WINTER HAVEN, FL 33880-3531

Phone: (863) 875-6486 Owner : OBRY, GENA

License #6906614Expiry: 05/21/2019Lic Type: AFCHNbr Slots : 3

RICHARDSON, RHONDA

309 N WETMORE ST LAKE WALES, FL 33853-4057

Phone: (863) 223-8104 Owner : RICHARDSON, RHONDA JANEICE

License #6906331Expiry: 05/17/2019Lic Type: AFCHNbr Slots : 5

TONEY, IRENE

2962 MORRIS DR BARTOW, FL 33830-9350

Phone: (863) 519-6424 Owner : TONEY, IRENE

License #6906947Expiry: 05/16/2020Lic Type: AFCHNbr Slots : 5

VICKERS, MONICA L

1862 Banks Road LAKE WALES, FL 33898

Phone: (863) 206-6439 Owner : VICKERS, MONICA L

License #6905707Expiry: 01/21/2020Lic Type: AFCHNbr Slots : 4

WATKINS, MARILYN LOUISE

620 BAKER AVE BARTOW, FL 33830-3505

Phone: (863) 533-5852 Owner : WATKINS, MARILYN

FIELD OFFICE CODE: 07 FACILITIES = 54 SLOTS = 252

COUNTY: BREVARD FACILITIES = 11 Slots = 50

License #6906866Expiry: 06/14/2020Lic Type: AFCHNbr Slots : 5

ABELARD, MARGARETTE

840 DAMASK ST NE PALM BAY, FL 32905-5711

Phone: (321) 914-0104 Owner : ABELARD, MARGARETTE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

23 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906762Expiry: 04/13/2019Lic Type: AFCHNbr Slots : 4

FRATER, SHERON C

1041 PEMBROKE AVE NE PALM BAY, FL 32907

Phone: (321) 345-5688 Owner : FRATER, SHERON C

License #6906248Expiry: 07/20/2020Lic Type: AFCHNbr Slots : 4

FREEMAN, INEZ GWENDOLYN

1771 HALFMOON ST NW PALM BAY, FL 32907-9220

Phone: (321) 956-3190 Owner : FREEMAN, INEZ GWENDOLYN

License #6906978Expiry: 01/08/2021Lic Type: AFCHNbr Slots : 4

HAMID, MARIE

136 DEAUVILLE AVE NE PALM BAY, FL 32907

Phone: (321) 914-3078 Owner : HAMID, MARIE

License #6906952Expiry: 06/20/2020Lic Type: AFCHNbr Slots : 5

JACOBS, LAKENYA

937 COMMERCE RD SE PALM BAY, FL 32909

Phone: (321) 626-0930 Owner : JACOBS, LAKENYA

License #6906533Expiry: 02/09/2020Lic Type: AFCHNbr Slots : 4

LARIONNE, WITZA

189 DONALD AVE NE PALM BAY, FL 32907-3158

Phone: (954) 249-7674 Owner : LARIONNE, WITZA LABBE

License #6906934Expiry: 01/07/2020Lic Type: AFCHNbr Slots : 5

LIBURD, CHERYL C

898 FAIRHAVEN ST NE PALM BAY, FL 32907

Phone: (321) 557-6137 Owner : Liburd, Cheryl

License #6906335Expiry: 06/02/2019Lic Type: AFCHNbr Slots : 5

PROPHETE, JEANNETTE

2460 S COURTENAY PKWY MERRITT IS, FL 32952-4117

Phone: (321) 735-0814 Owner : PROPHETE, JEANNETTE LAMOUR

License #6906872Expiry: 07/11/2020Lic Type: AFCHNbr Slots : 5

STEWART, DONNA

149 HAGERSTOWN ST SW PALM BAY, FL 32908-7631

Phone: (321) 505-1770 Owner : STEWART, DONNA

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

24 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906251Expiry: 07/23/2020Lic Type: AFCHNbr Slots : 4

THELAMONT, ROSE MARTHE

335 ABALONE RD NW PALM BAY, FL 32907-2961

Phone: (321) 684-8722 Owner : THELAMONT, ROSE MARTHE

License #6906685Expiry: 06/02/2020Lic Type: AFCHNbr Slots : 5

WILKES, KAREN

664 ORANGE CT ROCKLEDGE, FL 32955-2413

Phone: (321) 208-0245 Owner : WILKES, KAREN

COUNTY: ORANGE FACILITIES = 35 Slots = 167

License #6906966Expiry: 10/18/2020Lic Type: AFCHNbr Slots : 4

AUGUSTIN, MARIE ANGE

1404 N OBSERVATORY DR ORLANDO, FL 32818

Phone: (407) 219-1740 Owner : AUGUSTIN, MARIE M

License #6906982Expiry: 02/25/2021Lic Type: AFCHNbr Slots : 5

BERRY, JOHNETHA

4116 LENOX BLVD ORLANDO, FL 32811

Phone: (407) 276-0189 Owner : BERRY, JOHNETHA

License #6906851Expiry: 04/12/2020Lic Type: AFCHNbr Slots : 5

BORT, AARON

824 CLIFTON HILLS ST ORLANDO, FL 32828-6644

Phone: (407) 580-9898 Owner : BORT, AARON

License #6906728Expiry: 11/13/2020Lic Type: AFCHNbr Slots : 5

BORT, EDITH

227 WOODBURY PINES CIR ORLANDO, FL 32828-9086

Phone: (407) 719-0496 Owner : BORT, EDITH

License #6906894Expiry: 02/13/2021Lic Type: AFCHNbr Slots : 5

BORT, ETTA-LYNN

3258 NATOMA WAY ORLANDO, FL 32825-7183

Phone: (407) 719-0496 Owner : BORT, ETTA-LYNN

License #6906025Expiry: 08/31/2020Lic Type: AFCHNbr Slots : 5

BRYAN, MARCIA

957 ROCK CREEK ST APOPKA, FL 32712-4841

Phone: (407) 409-4998 Owner : BRYAN, MARCIA

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

25 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906557Expiry: 06/25/2020Lic Type: AFCHNbr Slots : 5

BUISSERETH, NANCY

1686 RACHELS RIDGE LOOP OCOEE, FL 34761-9000

Phone: (407) 690-9755 Owner : BUISSERETH, NANCY

License #6906915Expiry: 08/14/2019Lic Type: AFCHNbr Slots : 4

CHARLES, AGLAEZE

403 1ST ST OCOEE, FL 34761

Phone: (407) 670-4569 Owner : Charles, Aglaeze

License #6906616Expiry: 06/12/2019Lic Type: AFCHNbr Slots : 5

COLLADO, VALENTINE

2668 LOGANDALE DR ORLANDO, FL 32817-4722

Phone: (407) 421-4985 Owner : COLLADO, VALENTINE APOYAN

License #6906707Expiry: 08/28/2020Lic Type: AFCHNbr Slots : 5

DESROCHE, YOLENE

5515 OAKWAY RD ORLANDO, FL 32808-2830

Phone: (407) 952-7397 Owner : DESROCHE, YOLENE

License #6906708Expiry: 09/02/2018Lic Type: AFCHNbr Slots : 5

ETIENNE, YOLETTE

3500 PLYMOUTH SORRENTO RD APOPKA, FL 32712-5413

Phone: (407) 394-7301 Owner : ETIENNE, YOLETTE

License #6906306Expiry: 02/10/2019Lic Type: AFCHNbr Slots : 4

FRANCIS, JOSEPH

7049 HENNEPIN BLVD ORLANDO, FL 32818-5217

Phone: (407) 295-1189 Owner : FRANCIS, JOSEPH

License #6906823Expiry: 10/29/2019Lic Type: AFCHNbr Slots : 5

FRANCOIS, MARIE DENISE

8655 TARRAGON DR ORLANDO, FL 32825-3644

Phone: (954) 663-2760 Owner : FRANCOIS, MARIE DENISE

License #6905765Expiry: 06/10/2020Lic Type: AFCHNbr Slots : 5

GUZMAN, DAVID

3627 N APOPKA VINELAND RD ORLANDO, FL 32818-8667

Phone: (407) 963-5084 Owner : GUZMAN, DAVID

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

26 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906849Expiry: 04/04/2020Lic Type: AFCHNbr Slots : 5

HYPPOLITE-ALPHONSE, LISE I

1542 PROVIDENCE CIR ORLANDO, FL 32818-5708

Phone: (321) 948-8533 Owner : HYPPOLITE-ALPHONSE, LISE I

License #6906972Expiry: 11/15/2020Lic Type: AFCHNbr Slots : 3

JEAN, GERLYNE

901 BRYNMAR ESTATES BLVD OCOEE, FL 34761

Phone: (407) 401-1353 Owner : JEAN, GERLYNE

License #6906474Expiry: 05/16/2019Lic Type: AFCHNbr Slots : 5

JEAN-PIERRE, MARYSE

4505 MEADOWBROOK AVE ORLANDO, FL 32808-1917

Phone: (407) 913-1969 Owner : JEAN-PIERRE, MARYSE

License #6906651Expiry: 12/25/2019Lic Type: AFCHNbr Slots : 5

LACY, ROSALYN

1233 DUNBROOKE ST WINTER GARDEN, FL 34787-4859

Phone: (407) 287-7149 Owner : LACY, ROSALYN

License #6906944Expiry: 04/19/2020Lic Type: AFCHNbr Slots : 5

LIBRADO, SUGEY G

3910 SPOONBILL AVE ORLANDO, FL 32822

Phone: (407) 968-7158 Owner : LIBRADO, SUGEY G

License #6906950Expiry: 06/11/2020Lic Type: AFCHNbr Slots : 5

LORA CALA, CLAUDIA P

12045 AGANA ST ORLANDO, FL 32837

Phone: (407) 733-1740 Owner : LORA CALA, CLAUDIA P

License #6906513Expiry: 11/01/2019Lic Type: AFCHNbr Slots : 5

LOVE, LURINE

5520 RIDGEWAY DR ORLANDO, FL 32819-7435

Phone: (407) 352-5540 Owner : LOVE, LURINE A

License #6906912Expiry: 07/30/2019Lic Type: AFCHNbr Slots : 5

MARTIR, JONATHAN

17056 CYPRESS PRESERVE PKWY ORLANDO, FL 32820

Phone: (407) 986-0986 Owner : MARTIR, JONATHAN D

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

27 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906445Expiry: 10/19/2020Lic Type: AFCHNbr Slots : 5

MAYES, VICKY

7927 HAWK CREST LN ORLANDO, FL 32818-1230

Phone: (407) 416-2057 Owner : MAYES, VICKY

License #6906391Expiry: 01/04/2020Lic Type: AFCHNbr Slots : 5

MERINO, DAYSI

1510 DINGENS AVE WINDERMERE, FL 34786-8000

Phone: (407) 295-8872 Owner : MERINO, DAYSI M.

License #6906790Expiry: 07/13/2019Lic Type: AFCHNbr Slots : 5

MILARD, CHRISLINE

2653 ALCLOBE CIR OCOEE, FL 34761-8972

Phone: (407) 879-3996 Owner : MILARD, CHRISLINE

License #6906686Expiry: 06/02/2020Lic Type: AFCHNbr Slots : 5

MILLER, MARCIA

748 MELLOWOOD AVE ORLANDO, FL 32825-8077

Phone: (407) 219-4283 Owner : MILLER, MARCIA MARIE

License #6906709Expiry: 09/08/2020Lic Type: AFCHNbr Slots : 4

PIERRE, MARIE

546 BOHANNON BLVD ORLANDO, FL 32824-5905

Phone: (407) 454-3158 Owner : PIERRE, MARIE MARTHE

License #6905794Expiry: 09/20/2019Lic Type: AFCHNbr Slots : 5

PONCE-BERENATO, CARMEN

7224 JAFFERY CT ORLANDO, FL 32835-6158

Phone: (407) 822-5330 Owner : PONCE-BERENATO, CARMEN E.

License #6906649Expiry: 12/17/2019Lic Type: AFCHNbr Slots : 5

RENE, PAUL ANDRE & MONA-LISSA

651 REGINA CIR OAKLAND, FL 34787-8962

Phone: (321) 662-0040 Owner : RENE, PAUL A.

License #6906854Expiry: 05/09/2020Lic Type: AFCHNbr Slots : 5

ROBBINS-PAGEL, CAROLYNE

520 FIRST CAPE CORAL DR WINTER GARDEN, FL 34787-5926

Phone: (386) 337-4486 Owner : ROBBINS-PAGEL, CAROLYNE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

28 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906462Expiry: 02/27/2019Lic Type: AFCHNbr Slots : 5

SANTOS, MIRTHA D

3220 CHADWICK RD APOPKA, FL 32703-6007

Phone: (407) 862-9202 Owner : SANTOS, MIRTHA D

License #6906521Expiry: 01/16/2020Lic Type: AFCHNbr Slots : 4

SCOTT, VINNETTE

1717 HIALEAH ST ORLANDO, FL 32808-6023

Phone: (407) 412-6007 Owner : SCOTT, VINNETTE

License #6906857Expiry: 05/17/2020Lic Type: AFCHNbr Slots : 5

SINGH, RESHMA

2755 GRAPEVINE CRST OCOEE, FL 34761-7729

Phone: (407) 491-5727 Owner : SINGH, RESHMA

License #6906125Expiry: 08/14/2019Lic Type: AFCHNbr Slots : 5

SOUVERAIN, ROSE M

404 TRANQUILLE OAKS DR OCOEE, FL 34761-1402

Phone: (321) 460-4138 Owner : SOUVERAIN, ROSE MAGALIE

License #6906753Expiry: 03/09/2019Lic Type: AFCHNbr Slots : 4

WOOLRIDGE, THELMA

2523 LESTON CT ORLANDO, FL 32817-2614

Phone: (407) 678-1251 Owner : WOOLRIDGE, THELMA

COUNTY: OSCEOLA FACILITIES = 5 Slots = 21

License #6906921Expiry: 10/08/2019Lic Type: AFCHNbr Slots : 5

COLLINS, SUMIKO

1666 MARINA LAKE DR KISSIMMEE, FL 34744

Phone: (352) 800-1644 Owner : COLLINS, SUMIKO

License #6906962Expiry: 10/01/2020Lic Type: AFCHNbr Slots : 2

GAVIN, MICHELE M

3450 KAISER AVE SAINT CLOUD, FL 34772

Phone: (407) 301-8804 Owner : GAVIN, MICHELE M

License #6906871Expiry: 07/11/2020Lic Type: AFCHNbr Slots : 5

PEYTON, SHARON

5372 DAHLIA RESERVE DR KISSIMMEE, FL 34758-2291

Phone: (740) 248-3849 Owner : PEYTON, SHARON

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

29 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906960Expiry: 09/12/2020Lic Type: AFCHNbr Slots : 4

ROBERT, LOVELY

927 GLOUCESTER CT KISSIMMEE, FL 34758

Phone: (863) 205-0016 Owner : ROBERT, LOVELY

License #6906974Expiry: 12/09/2020Lic Type: AFCHNbr Slots : 5

WILSON, MARSHA

1890 LEMON AVE KISSIMMEE, FL 34746

Phone: (407) 900-7635 Owner : WILSON, MARSHA A

COUNTY: SEMINOLE FACILITIES = 3 Slots = 14

License #6906909Expiry: 06/11/2019Lic Type: AFCHNbr Slots : 5

ALLEGRETTI, CAROLYN

3312 OLDE WHARF RUN WINTER PARK, FL 32792

Phone: (407) 409-1441 Owner : Allegretti, Carolyn

License #6905499Expiry: 02/03/2020Lic Type: AFCHNbr Slots : 5

ALLEYNE, KAY

3910 WOODGLADE CV WINTER PARK, FL 32792-6317

Phone: (407) 657-2884 Owner : ALLEYNE, KAY

License #6905044Expiry: 03/23/2019Lic Type: AFCHNbr Slots : 4

MEADE, TENNYSON A

1310 S PARK AVE SANFORD, FL 32771-3464

Phone: (407) 322-4317 Owner : MEADE, TENNYSON A

FIELD OFFICE CODE: 08 FACILITIES = 51 SLOTS = 227

COUNTY: CHARLOTTE FACILITIES = 16 Slots = 71

License #3Expiry: 09/22/2020Lic Type: AFCHNbr Slots : 4

BAIRD, PHYLLIS

284 COMSTOCK ST PT CHARLOTTE, FL 33954-3627

Phone: (941) 743-0778 Owner : BAIRD, PHYLLIS

License #6905514Expiry: 03/26/2020Lic Type: AFCHNbr Slots : 5

CHERY, MARY A

1048 RENOIR ST PT CHARLOTTE, FL 33952-1762

Phone: (941) 629-9570 Owner : CHERY, MARY ALICE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

30 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906955Expiry: 07/17/2020Lic Type: AFCHNbr Slots : 5

DEGRAFF, ELMIRE

131 CASTILE CT PUNTA GORDA, FL 33983

Phone: (941) 286-8431 Owner : DEGRAFF, ELMIRE

License #6906959Expiry: 08/12/2020Lic Type: AFCHNbr Slots : 4

FLOWERS-DAVIS, MARVET

2532 STARLITE LN PORT CHARLOTTE, FL 33952

Phone: (941) 235-8770 Owner : FLOWERS-DAVIS, MARVET

License #6906749Expiry: 02/24/2021Lic Type: AFCHNbr Slots : 4

HENDRICKS, RAYMOND

1306 ANNETTE ST PT CHARLOTTE, FL 33980-1915

Phone: (941) 875-0139 Owner : HENDRICKS, RAYMOND

License #6906957Expiry: 07/23/2020Lic Type: AFCHNbr Slots : 4

MOORE, MARSHA

284 WILMERS RD PUNTA GORDA, FL 33982

Phone: (941) 621-4841 Owner : MOORE, MARSHA ANN

License #6905365Expiry: 08/23/2019Lic Type: AFCHNbr Slots : 5

NELSON, SHARON MARCIA

21459 SEATON AVE PT CHARLOTTE, FL 33954-3251

Phone: (941) 255-8260 Owner : NELSON, SHARON

License #6905972Expiry: 02/26/2021Lic Type: AFCHNbr Slots : 5

PARKES, ROSYLIN

23442 GARRETT AVE PT CHARLOTTE, FL 33954-2533

Phone: (941) 391-6502 Owner : PARKES, ROSYLIN

License #6906395Expiry: 01/24/2020Lic Type: AFCHNbr Slots : 5

PASCAL, APOLD

382 POSADAS CIR PUNTA GORDA, FL 33983-5848

Phone: (941) 629-8577 Owner : PASCAL, APOLD

License #6906321Expiry: 04/23/2021Lic Type: AFCHNbr Slots : 5

SEALY, LESA NORIEGA

15 MADRE DE DIOS ST PUNTA GORDA, FL 33983-4254

Phone: (941) 629-4934 Owner : SEALY, LESA NORIEGA

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

31 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906517Expiry: 12/01/2019Lic Type: AFCHNbr Slots : 4

SHARMA, SHERRY R

3166 MARINE TER PUNTA GORDA, FL 33983-3422

Phone: (941) 743-6276 Owner : SHARMA, SHERRY RAJCOMARIE

License #6906973Expiry: 12/02/2020Lic Type: AFCHNbr Slots : 4

SIMMONS, ANNETTE

1292 DORCHESTER ST PORT CHARLOTTE, FL 33952

Phone: (941) 979-5046 Owner : SIMMONS, ANNETTE

License #6906738Expiry: 01/12/2019Lic Type: AFCHNbr Slots : 5

SMITH, CLEMENT

20236 PEACHLAND BLVD PT CHARLOTTE, FL 33954-2962

Phone: (941) 764-7461 Owner : SMITH, CLEMENT GUSTAVOUS

License #6906844Expiry: 02/17/2020Lic Type: AFCHNbr Slots : 4

STANY, WOOFKINS

23143 HEMENWAY AVE PT CHARLOTTE, FL 33980-5810

Phone: (941) 883-4489 Owner : STANY, WOOFKINS

License #6906610Expiry: 05/06/2021Lic Type: AFCHNbr Slots : 4

THOMAS, ANNETTE ANGELA

18520 SATSUMA AVE PT CHARLOTTE, FL 33948-7520

Phone: (941) 421-5397 Owner : THOMAS, ANNETTE ANGELA

License #6906890Expiry: 12/08/2020Lic Type: AFCHNbr Slots : 4

WILLIAMS, SIMONE

20175 HILLSBOROUGH BLVD PT CHARLOTTE, FL 33954-4106

Phone: (941) 883-4419 Owner : WILLIAMS, SIMONE

COUNTY: COLLIER FACILITIES = 3 Slots = 11

License #6906348Expiry: 07/09/2019Lic Type: AFCHNbr Slots : 3

COKE, ALVAN ST AUBYN

3620 64TH AVE NE NAPLES, FL 34120-2618

Phone: (239) 404-7695 Owner : COKE, ALVAN ST AUBYN

License #6906632Expiry: 09/02/2019Lic Type: AFCHNbr Slots : 4

SMITH, LOUISE

360 37TH AVE NE NAPLES, FL 34120-4360

Phone: (239) 352-1086 Owner : SMITH, LOUISE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

32 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906467Expiry: 03/31/2021Lic Type: AFCHNbr Slots : 4

WEATHERSPOON, MELANIE

1714 52ND TER SW NAPLES, FL 34116-5652

Phone: (239) 248-8167 Owner : WEATHERSPOON, MELANIE

COUNTY: LEE FACILITIES = 24 Slots = 109

License #6906888Expiry: 11/29/2020Lic Type: AFCHNbr Slots : 5

ALHADDAD, BUTHAINA

14458 REFLECTION LAKES DR FORT MYERS, FL 33907-1806

Phone: (239) 940-4080 Owner : ALHADDAD, BUTHANINA

License #6906979Expiry: 02/10/2021Lic Type: AFCHNbr Slots : 4

ALHADDAD, HAMDI

1654 NORTH FLOSSMOOR RD FORT MYERS, FL 33919

Phone: (239) 935-9505 Owner : ALHADDAD, HAMDI

License #6906926Expiry: 11/30/2019Lic Type: AFCHNbr Slots : 5

BATCHELOR, OLIVIA

1904 GARDNER AVE LEHIGH ACRES, FL 33936

Phone: (786) 290-1745 Owner : Batchelor, Olivia

License #6906393Expiry: 01/18/2020Lic Type: AFCHNbr Slots : 3

CHRISTMAS, WILLIE

16691 1ST ST ALVA, FL 33920-4119

Phone: (239) 208-2307 Owner : CHRISTMAS, WILLIE LEE

License #6906730Expiry: 12/09/2020Lic Type: AFCHNbr Slots : 4

DALEY, SHARLENE

2811 2ND ST SW LEHIGH ACRES, FL 33976-2548

Phone: (239) 470-8035 Owner : DALEY, SHARLENE

License #6906581Expiry: 11/14/2020Lic Type: AFCHNbr Slots : 5

DESMORNES, JOSEPH

2621 SW 37TH TER CAPE CORAL, FL 33914-4888

Phone: (239) 204-6373 Owner : DESMORNES, JOSEPH

License #6906497Expiry: 08/30/2019Lic Type: AFCHNbr Slots : 4

DOUGLAS, CHERYL

919 COMMODORE ST LEHIGH ACRES, FL 33974-4550

Phone: (239) 707-4488 Owner : DOUGLAS, CHERYL L.

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

33 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906925Expiry: 11/08/2019Lic Type: AFCHNbr Slots : 5

GRANT, JAHPHET Y

2252 WRIGHT ST BLDG A FORT MYERS, FL 33916

Phone: (239) 935-9247 Owner : Grant, Jahphet

License #6906816Expiry: 10/05/2019Lic Type: AFCHNbr Slots : 5

GREY, DELMA

1001 CLAYTON AVE LEHIGH ACRES, FL 33972-7405

Phone: (386) 848-4854 Owner : GREY, DELMA J

License #6905152Expiry: 05/03/2020Lic Type: AFCHNbr Slots : 5

HOWELL, KEVIN LORNE

6410 P G A DR N FT MYERS, FL 33917-3295

Phone: (239) 731-9007 Owner : HOWELL, KEVIN LORNE

License #6906900Expiry: 04/02/2021Lic Type: AFCHNbr Slots : 3

JEAN, MODELEINE

132 COLUMBUS BLVD S LEHIGH ACRES, FL 33974-5779

Phone: (239) 247-9406 Owner : JEAN, MODELEINE

License #6906927Expiry: 11/30/2019Lic Type: AFCHNbr Slots : 5

JEAN-BAPTISTE, FRANCILIA

118 GRANT BLVD LEHIGH ACRES, FL 33974

Phone: (941) 900-8566 Owner : Jean-Baptiste, Francilia M

License #6906774Expiry: 05/20/2019Lic Type: AFCHNbr Slots : 4

JEAN-BAPTISTE, JEAN HONEL

4106 7TH ST SW LEHIGH ACRES, FL 33976-2110

Phone: (239) 245-2606 Owner : JEAN BAPTISTE, JEAN HONEL

License #6906965Expiry: 10/17/2020Lic Type: AFCHNbr Slots : 5

KETTLE, GERMAINE & TIFFANY R

355 PENNFIELD ST LEHIGH ACRES, FL 33974

Phone: (239) 368-8879 Owner : KETTLE, TIFFANY R

License #6905039Expiry: 02/27/2021Lic Type: AFCHNbr Slots : 4

LEWIS, SOPHIE MAE

1774 VERONICA S SHOEMAKER BLVD FORT MYERS, FL 33916-2255

Phone: (239) 332-4176 Owner : LEWIS, SOPHIE M

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

34 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906012Expiry: 07/31/2019Lic Type: AFCHNbr Slots : 5

ORIA, ESTELA V

1439 SE 15TH ST CAPE CORAL, FL 33990-3773

Phone: (239) 574-1425 Owner : ORIA, ESTELA V

License #6906870Expiry: 07/07/2020Lic Type: AFCHNbr Slots : 5

REECE, CARLISLE

2324 SE 5TH CT CAPE CORAL, FL 33990-4305

Phone: (239) 800-3143 Owner : REECE, CARLISLE

License #6905982Expiry: 03/30/2021Lic Type: AFCHNbr Slots : 5

RUSSELL, MEGZIE YVONNE

1902 E 6TH ST LEHIGH ACRES, FL 33936-1006

Phone: (239) 368-9538 Owner : RUSSELL, MEGZIE Y

License #6906611Expiry: 05/06/2019Lic Type: AFCHNbr Slots : 4

SABINO, VIRGINIA ZETA-DELEON

212 SE 21ST ST CAPE CORAL, FL 33990-4359

Phone: (239) 628-7747 Owner : SABINO, VIRGINIA Z

License #6906099Expiry: 06/04/2019Lic Type: AFCHNbr Slots : 5

SINGH, BAGWANDAI

2103 HANCOCK BRIDGE PKWY CAPE CORAL, FL 33990-1481

Phone: (239) 574-6493 Owner : SINGH, BAGWANDAI

License #6905999Expiry: 05/30/2020Lic Type: AFCHNbr Slots : 5

SINGH, NADINE ANN ORINTHEA

317 PENNFIELD AVE LEHIGH ACRES, FL 33974-9495

Phone: (239) 645-2686 Owner : SINGH, NADINE

License #6906905Expiry: 05/23/2019Lic Type: AFCHNbr Slots : 4

SIRONEL, YVETTE A

2806 42ND ST SW LEHIGH ACRES, FL 33976

Phone: (239) 887-7708 Owner : SIRONEL, YVETTE A.

License #6905782Expiry: 08/04/2019Lic Type: AFCHNbr Slots : 5

TOPIC, WALTER

4231 ERINDALE DR FORT MYERS, FL 33903-5029

Phone: (239) 656-0019 Owner : TOPIC, WALTER

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

35 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906831Expiry: 12/06/2019Lic Type: AFCHNbr Slots : 5

WILLIAMS, CHARMAINE

420 PUTNAM AVE LEHIGH ACRES, FL 33974-5580

Phone: (239) 789-8406 Owner : WILLIAMS, CHARMAINE A

COUNTY: SARASOTA FACILITIES = 8 Slots = 36

License #6905482Expiry: 12/11/2019Lic Type: AFCHNbr Slots : 5

ANGLES, LUIS M

5413 HAYDEN BLVD SARASOTA, FL 34232-5735

Phone: (941) 378-4317 Owner : ANGLES, LUIS MARIO

License #6906115Expiry: 07/10/2019Lic Type: AFCHNbr Slots : 5

CHERRY, NADINE

2565 PARMA ST SARASOTA, FL 34231-5127

Phone: (941) 926-2897 Owner : CHERRY, NADINE CAROLYN

License #6906057Expiry: 12/20/2020Lic Type: AFCHNbr Slots : 3

HALEY, SYLVIA

7501 LYNCREST ST NORTH PORT, FL 34287-5535

Phone: (941) 423-9836 Owner : HALEY, SYLVIA V

License #6905687Expiry: 11/03/2019Lic Type: AFCHNbr Slots : 4

LEWIS, CAROL A

12101 RONDA LN NORTH PORT, FL 34287-1468

Phone: (941) 426-7707 Owner : LEWIS, CAROL ALTHEA

License #6906791Expiry: 07/14/2019Lic Type: AFCHNbr Slots : 5

MILLER, LINDA

5040 VASSAR RD VENICE, FL 34293-6039

Phone: (941) 416-3233 Owner : MILLER, LINDA C

License #6906940Expiry: 03/25/2020Lic Type: AFCHNbr Slots : 4

SHEPPARD, YAHAIRA

4123 NORRIS TERRACE NORTH PORT, FL 34288

Phone: (941) 200-5528 Owner : GARCIA, YAHAIRA MARIA

License #6905634Expiry: 06/05/2019Lic Type: AFCHNbr Slots : 5

VECCHIO, FRANK & OFELIA

211 GINGER RD VENICE, FL 34293-1521

Phone: (941) 408-7283 Owner : VECCHIO, FRANK ROBERT

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

36 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906344Expiry: 06/30/2019Lic Type: AFCHNbr Slots : 5

WALTON, JEANNE ELIZABETH

740 CRESTWOOD RD ENGLEWOOD, FL 34223-3902

Phone: (941) 460-1807 Owner : WALTON, JEANNE ELIZABETH

FIELD OFFICE CODE: 09 FACILITIES = 28 SLOTS = 120

COUNTY: INDIAN RIVER FACILITIES = 1 Slots = 4

License #6906914Expiry: 08/06/2019Lic Type: AFCHNbr Slots : 4

POWELL, PATRICIA

4016 57 TERR VERO BEACH, FL 32966

Phone: (772) 501-3951 Owner : Powell, Patricha W

COUNTY: PALM BEACH FACILITIES = 15 Slots = 63

License #6906916Expiry: 08/15/2019Lic Type: AFCHNbr Slots : 5

BASSETT, MARCELE

14609 WHITE JADE TERR DELRAY BEACH, FL 33446

Phone: (561) 501-7873 Owner : BASSETT, MARCELE

License #6906661Expiry: 02/19/2020Lic Type: AFCHNbr Slots : 4

BELL, JANICE

1564 W 30TH ST RIVIERA BEACH, FL 33404

Phone: (561) 444-3059 Owner : BELL, JANICE

License #6906527Expiry: 01/31/2020Lic Type: AFCHNbr Slots : 5

BLACK, KIMBERLY

3794 VICTORIA RD WEST PALM BCH, FL 33411-6440

Phone: (561) 629-5067 Owner : BLACK, KIMBERLY

License #6906680Expiry: 05/15/2020Lic Type: AFCHNbr Slots : 4

DAVIS, MARGARET

2313 Z TER RIVIERA BEACH, FL 33404-1803

Phone: (561) 863-9517 Owner : DAVIS, MARGARET ELIZABETH

License #6906932Expiry: 12/20/2019Lic Type: AFCHNbr Slots : 3

DENIS, ASHUKI

121 E GATEWAY BLVD BOYNTON BEACH, FL 33435

Phone: (561) 385-2793 Owner : Denis, Ashuki

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

37 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906797Expiry: 07/30/2019Lic Type: AFCHNbr Slots : 5

DOUGLAS, LYNROD

116 MONTEREY WAY ROYAL PLM BCH, FL 33411-7801

Phone: (561) 557-3663 Owner : DOUGLAS, LYNROD

License #6906739Expiry: 01/13/2019Lic Type: AFCHNbr Slots : 5

DUNN, VIVILYN

411 W 30TH ST RIVIERA BEACH, FL 33404-3711

Phone: (561) 628-9292 Owner : DUNN, VIVILYN SALOME

License #6906766Expiry: 04/27/2019Lic Type: AFCHNbr Slots : 3

GRAY, ANNETTE

3624 AVENUE DEGIEN DELRAY BEACH, FL 33445-2239

Phone: (561) 441-4145 Owner : GRAY, ANNETTE ANNMARIE

License #6905994Expiry: 05/11/2020Lic Type: AFCHNbr Slots : 4

GUISHARD, JACQUELINE

608 S LOIS CT WEST PALM BCH, FL 33413-3459

Phone: (561) 687-8828 Owner : GUISHARD, JACQUELINE

License #6906968Expiry: 10/23/2020Lic Type: AFCHNbr Slots : 2

JOSEPH, ROSE MITHA

1739 SAWGRASS CIRCLE GREENACRES, FL 33413

Phone: (561) 704-7629 Owner : Joseph, Rose Mitha

License #6906941Expiry: 04/04/2020Lic Type: AFCHNbr Slots : 3

RICHARDS, STEVE

6955 BITTERBUSH PL BOYNTON BEACH, FL 33472

Phone: (561) 542-9776 Owner : RICHARDS, STEVE

License #6906964Expiry: 10/15/2020Lic Type: AFCHNbr Slots : 5

ROMULUS, MARIE YOLA

17328 49TH ST NORTH LOXAHATCHEE, FL 33470

Phone: (561) 507-7759 Owner : ROMULUS, MARIE Y

License #6906969Expiry: 10/23/2020Lic Type: AFCHNbr Slots : 5

SAJILUS, GLORIA

5034 KATHY LANE WEST PALM BEACH, FL 33415

Phone: (561) 693-7259 Owner : SAJILUS, GLORIA

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

38 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906981Expiry: 02/19/2021Lic Type: AFCHNbr Slots : 5

VALCOURT, GINETTE

3273 OLD BOYNTON RD BOYNTON BEACH, FL 33436

Phone: (561) 736-3276 Owner : VALCOURT, GINETTE M

License #6906486Expiry: 07/19/2019Lic Type: AFCHNbr Slots : 5

WILLIAMS, KARLENE

16931 70TH ST N LOXAHATCHEE, FL 33470-3359

Phone: (561) 574-1257 Owner : WILLIAMS, KARLENE

COUNTY: ST. LUCIE FACILITIES = 12 Slots = 53

License #6906081Expiry: 04/15/2019Lic Type: AFCHNbr Slots : 5

ANTOINE, FRANCOISE

1342 SW DEL RIO BLVD PORT ST LUCIE, FL 34953-1439

Phone: (772) 475-6004 Owner : ANTOINE, FRANÇOISE

License #6906704Expiry: 07/23/2020Lic Type: AFCHNbr Slots : 4

COTIN-VALCIN, CHARITE

238 NW FERRIS DR PORT ST LUCIE, FL 34983-1121

Phone: (772) 985-4122 Owner : VALCIN-COTIN, CHARITE R

License #6906491Expiry: 08/09/2019Lic Type: AFCHNbr Slots : 5

CUNNINGHAM, MONICA

2366 SW WEBSTER LN PORT ST LUCIE, FL 34953-5751

Phone: (772) 336-8441 Owner : CUNNINGHAM, MONICA

License #6906864Expiry: 06/09/2020Lic Type: AFCHNbr Slots : 5

HILAIRE, EDOUARD SAINT

298 SW CARTER AVE PORT ST LUCIE, FL 34983-3064

Phone: (772) 301-1132 Owner : SAINT HILAIRE, EDOUARD

License #6906975Expiry: 12/11/2020Lic Type: AFCHNbr Slots : 5

JOYCE B SCHAEFFER

1160 SE PURITAN LANE PORT SAINT LUCIE, FL 34983

Phone: (772) 828-7113 Owner : SCHAEFFER, JOYCE B

License #6906819Expiry: 10/20/2019Lic Type: AFCHNbr Slots : 4

LABATTE,CLAIRE

281 SW BEDFORD RD PORT SAINT LUCIE, FL 34953

Phone: (772) 207-0280 Owner : LABATTE, CLAIRE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

39 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906913Expiry: 08/01/2019Lic Type: AFCHNbr Slots : 5

LEWIS JEWELL D

445 SW DALTON CIR PORT SAINT LUCIE, FL 34953

Phone: (954) 592-4953 Owner : LEWIS, JEWELL DORIS

License #6905990Expiry: 04/26/2019Lic Type: AFCHNbr Slots : 5

PETERSON, MYRTLE MERINA

120 MAPLE AVE FORT PIERCE, FL 34982-3431

Phone: (772) 672-1181 Owner : PETERSON, MYRTLE MERINA

License #6906759Expiry: 03/31/2019Lic Type: AFCHNbr Slots : 5

SALIEN, JEAN MARIE

6817 NW GRANGER AVE PORT ST LUCIE, FL 34983-1306

Phone: (772) 919-5121 Owner : SALIEN, JEAN MARIE

License #6906920Expiry: 09/27/2019Lic Type: AFCHNbr Slots : 4

SALMON, CYNTHIA HOPWOOD

5348 NW ALAM CT PORT SAINT LUCIE, FL 34986

Phone: (772) 985-4368 Owner : HOPWOOD-SALMON, CYNTHIA

License #6906751Expiry: 03/03/2019Lic Type: AFCHNbr Slots : 3

SMITH, MARIA

5809 NW FALL FLOWER CT PORT ST LUCIE, FL 34986-4191

Phone: (772) 766-3033 Owner : SMITH, MARIA

License #6906464Expiry: 03/01/2019Lic Type: AFCHNbr Slots : 3

WHITE, MAVIS

600 S 10TH ST FORT PIERCE, FL 34950-8516

Phone: (772) 460-8498 Owner : WHITE, MAVIS

FIELD OFFICE CODE: 10 FACILITIES = 15 SLOTS = 70

COUNTY: BROWARD FACILITIES = 15 Slots = 70

License #6905577Expiry: 11/18/2019Lic Type: AFCHNbr Slots : 5

BLAKE, TERVIL

211 KANSAS AVE FT LAUDERDALE, FL 33312-1862

Phone: (954) 791-3289 Owner : BLAKE, TERVIL

License #6906326Expiry: 04/29/2021Lic Type: AFCHNbr Slots : 4

CAMPBELL, ANNMARIE

320 PENNSYLVANIA AVE FT LAUDERDALE, FL 33312-1835

Phone: (954) 327-3380 Owner : CAMPBELL, ANNMARIE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

40 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6905688Expiry: 11/11/2019Lic Type: AFCHNbr Slots : 5

CLARKE, CLAUDETTE

6150 SOUTHGATE BLVD MARGATE, FL 33068-1633

Phone: (954) 973-4010 Owner : CLARKE, CLAUDETTE BERNICE

License #6906824Expiry: 11/29/2019Lic Type: AFCHNbr Slots : 5

GIBBS, MILLICENT

3410 NW 8TH ST LAUDERHILL, FL 33311

Phone: (954) 865-3382 Owner : GIBBS, MILLICENT

License #6906597Expiry: 02/06/2019Lic Type: AFCHNbr Slots : 5

GREEN, JENNEPHA

5532 NW 39TH AVE COCONUT CREEK, FL 33073-4124

Phone: (754) 245-0179 Owner : GREEN, JENNEPHA MAY

License #6906904Expiry: 05/23/2019Lic Type: AFCHNbr Slots : 5

HANSON, MARTHA

851 NANDINA DR WESTON, FL 33327-2408

Phone: (954) 217-8667 Owner : HANSON, MARTHA VICTORIA

License #6905826Expiry: 12/19/2019Lic Type: AFCHNbr Slots : 5

PEREZ, YOSVANY

3521 SW 38TH ST WEST PARK, FL 33023-6356

Phone: (954) 893-6093 Owner : PEREZ, YOSVANY

License #6906166Expiry: 12/02/2019Lic Type: AFCHNbr Slots : 5

RAPHAEL, CHRISTIANA

18574 SW 55TH ST MIRAMAR, FL 33029-6294

Phone: (954) 704-3940 Owner : RAPHAEL, CHRISTIANA

License #6906874Expiry: 07/14/2020Lic Type: AFCHNbr Slots : 4

THEOPHIN, ROSANA

4561 NW 10TH AVE FT LAUDERDALE, FL 33309-3869

Phone: (754) 206-4574 Owner : THEOPHIN, ROSANA

License #6906922Expiry: 10/26/2019Lic Type: AFCHNbr Slots : 4

TORRENGA, IRENE

1320 SW 1ST TERR POMPANO BEACH, FL 33060

Phone: (954) 548-6297 Owner : Torrenga, Irene

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

41 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6905847Expiry: 02/16/2019Lic Type: AFCHNbr Slots : 5

TULLOCH, DIONNE R

5101 NW 47TH AVE COCONUT CREEK, FL 33073-4942

Phone: (954) 428-0241 Owner : TULLOCH, DIONNE R

License #6905881Expiry: 06/14/2019Lic Type: AFCHNbr Slots : 5

TURNER, DOREEN

7520 HARBOUR BLVD MIRAMAR, FL 33023-6564

Phone: (954) 709-7349 Owner : TURNER, DOREEN A

License #6905718Expiry: 02/10/2021Lic Type: AFCHNbr Slots : 5

WALLACE, SHEROL A

4936 HARRISON ST HOLLYWOOD, FL 33021-7209

Phone: (954) 961-2763 Owner : WALLACE, SHEROL

License #6905729Expiry: 03/18/2019Lic Type: AFCHNbr Slots : 4

WILLIAMS, MAVIS

7320 NEPTUNE ST MIRAMAR, FL 33023-3647

Phone: (954) 632-3815 Owner : WILLIAMS, MAVIS

License #6906768Expiry: 05/10/2019Lic Type: AFCHNbr Slots : 4

WOODS, LORRIS E

1330 NW 15TH TER FT LAUDERDALE, FL 33311-5357

Phone: (954) 548-4351 Owner : WOODS, LORRIS E

FIELD OFFICE CODE: 11 FACILITIES = 14 SLOTS = 69

COUNTY: MIAMI-DADE FACILITIES = 14 Slots = 69

License #6905352Expiry: 06/11/2020Lic Type: AFCHNbr Slots : 5

BANNISTER, MICHAEL

14636 SW 95TH LN MIAMI, FL 33186-1040

Phone: (305) 984-8312 Owner : BANNISTER, MICHAEL

License #6906971Expiry: 11/08/2020Lic Type: AFCHNbr Slots : 5

BELL, FALISHA

18963 SW 113 CT MIAMI, FL 33157

Phone: (786) 454-7529 Owner : Bell, Falisha

License #6906895Expiry: 02/13/2021Lic Type: AFCHNbr Slots : 5

BONILLA, MALCIEL

9830 SW 80TH DR MIAMI, FL 33173-4037

Phone: (305) 988-2390 Owner : BONILLA, MALCIEL

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

42 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906511Expiry: 10/26/2019Lic Type: AFCHNbr Slots : 5

DESSALINES, MARIE

18539 SW 133RD AVE MIAMI, FL 33177-4206

Phone: (305) 484-7057 Owner : DESSALINES, MARIE LANDSY

License #6906456Expiry: 01/05/2021Lic Type: AFCHNbr Slots : 5

GOMEZ, MARITZA

13370 SW 82ND ST MIAMI, FL 33183-4123

Phone: (786) 587-9060 Owner : GOMEZ, MARITZA

License #6906681Expiry: 05/15/2020Lic Type: AFCHNbr Slots : 5

LAZARE, GINETTE

15551 NE 12TH AVE N MIAMI BEACH, FL 33162-5501

Phone: (786) 262-2592 Owner : LAZARE, GINETTE

License #6905135Expiry: 03/08/2021Lic Type: AFCHNbr Slots : 5

LEON, TERESITA C

4840 SW 89TH PL MIAMI, FL 33165-6600

Phone: (305) 279-9196 Owner : LEON, TERESITA C

License #6906911Expiry: 07/16/2019Lic Type: AFCHNbr Slots : 5

MONTINARD, NICOLE

1154 NW 204TH ST MIAMI, FL 33169

Phone: (954) 534-6664 Owner : Montinard, Nicole

License #6905101Expiry: 09/25/2019Lic Type: AFCHNbr Slots : 5

MOORE, DOROTHY

2961 NW 210TH TER OPA LOCKA, FL 33056-1452

Phone: (305) 624-5778 Owner : MOORE, DOROTHY NELL

License #6905574Expiry: 11/03/2019Lic Type: AFCHNbr Slots : 5

MOSELEY, KATHERINE

7805 SW 179TH TER PALMETTO BAY, FL 33157-6212

Phone: (305) 233-4143 Owner : MOSELEY, KATHERINE LOUISE

License #6905699Expiry: 12/01/2019Lic Type: AFCHNbr Slots : 5

PEREZ, GRICELL B

9860 SW 32ND ST MIAMI, FL 33165-2939

Phone: (305) 551-5887 Owner : PEREZ, GRICELL

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

43 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538

License #6906946Expiry: 04/24/2020Lic Type: AFCHNbr Slots : 5

RODRIGUES, RAYMOND F

10761 SW 172ND ST MIAMI, FL 33157

Phone: (818) 915-9956 Owner : Rodrigues, Raymond F

License #6905755Expiry: 05/16/2019Lic Type: AFCHNbr Slots : 4

ROY, MONIQUE & JEAN

170 NE 163RD ST MIAMI, FL 33162-3430

Phone: (305) 356-6384 Owner : ROY, JEAN

License #6906806Expiry: 09/02/2019Lic Type: AFCHNbr Slots : 5

SUIT, MARILINE

960 NE 136TH ST NORTH MIAMI, FL 33161-3241

Phone: (786) 290-7004 Owner : SUIT, MARILINE

Directory_AFCH /HQA Report Folder/_AssistedLivingUnit

44 of 44

ADULT FAMILY CARE HOME DIRECTORY Date: 3/1/2019

AGENCY FOR HEALTH CARE ADMINISTRATION

Active Facilities = 339 Total Slots = 1,538