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NPI Code Detail

MEDICARE: DESIGNED FOR GREATNESS LLC

MEDICARE: DESIGNED FOR GREATNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency
2261QD1600XDevelopmental Disabilities Clinic/Center
3342000000XTransportation Network Company
4372600000XAdult Companion
5251E00000XHome Health Agency
6253Z00000XIn Home Supportive Care Agency
7385H00000XRespite Care
83747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1336959477
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESIGNED FOR GREATNESS LLC
Provider Business Mailing Address
First Line : 1211 NORMANDY HEIGHTS CIR
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-5362
Country : US
Telephone Number : 863-409-7332
Fax Number :
Provider Business Practice Location Address
First Line : 1211 NORMANDY HEIGHTS CIR
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-5362
Country : US
Telephone Number : 863-409-7332
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHANTRALA EUTICA NANTON
Credential :
Telephone Number : 863-409-7332
Provider Enumeration Date : 01/10/2025
Last Update Date : 01/10/2025

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Practice Location Address:
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Directions to “DESIGNED FOR GREATNESS LLC ” Practice Location

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