Upload
ngonga
View
234
Download
13
Embed Size (px)
Citation preview
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 1
FIELD OFFICE CODE: 01 Slots = 18Facilities = 4
COUNTY: ESCAMBIA Facilities = 4 Slots = 18
License #6905549 CROSBY, SANDRA TOLER683 BULLARD AVEPENSACOLA, FL 32514-3248
Owner: CROSBY, SANDRA TOLER
Phone: (850) 542-4236
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/18/2016
License #6906454 ESTARES, JOHN V3075 PARTRIDGE DRPENSACOLA, FL 32526
Owner: ESTARES, JOHN V
Phone: (850) 384-7656
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/6/2016
License #82 FOWLER, GERTRUDE100 PINEDA AVEPENSACOLA, FL 32503-3639
Owner: FOWLER, GERTRUDE
Phone: (850) 432-5044
Nbr Slots: 4Lic Type: STANDARDExpiry: 8/7/2016
License #6905237 WESLEY, LENORA DIANN7840 HERRINGTON DRPENSACOLA, FL 32534-4521
Owner: WESLEY, LENORA D
Phone: (850) 477-0914
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/5/2017
FIELD OFFICE CODE: 02 Slots = 23Facilities = 5
COUNTY: GADSDEN Facilities = 2 Slots = 10
License #6905367 RICHARDSON, CANDIE F.1748 IRON BRIDGE RDHAVANA, FL 32333-5294
Owner: RICHARDSON, CANDIE F
Phone: (850) 539-0736
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/1/2017
License #6906832 SINGLETON, PATRICIA171 O'NEAL WAYHAVANA, FL 32333
Owner: SINGLETON, PATRICIA ANN
Phone: (850) 539-0870
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/13/2017
COUNTY: HOLMES Facilities = 1 Slots = 4
License #6906720 MANNERS-MORALES, JULIA3570 MORALES DRBONIFAY, FL 32425
Owner: MANNERS-MORALES, JULIA
Phone: (850) 263-7693
Nbr Slots: 4Lic Type: STANDARDExpiry: 10/27/2016
COUNTY: JEFFERSON Facilities = 1 Slots = 4
License #6905430 MAXWELL, DELORIS385 W LAKE RDMONTICELLO, FL 32344-5647
Owner: MAXWELL, DELORIS
Phone: (850) 997-0141
Nbr Slots: 4Lic Type: STANDARDExpiry: 6/18/2017
COUNTY: MADISON Facilities = 1 Slots = 5
License #6906618 MOBLEY, GLORIA3704 NE ROCKY FORD RDMADISON, FL 32340-4020
Owner: MOBLEY, GLORIA JEAN
Phone: (850) 253-0106
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/8/2017
FIELD OFFICE CODE: 03 Slots = 191Facilities = 42
COUNTY: ALACHUA Facilities = 3 Slots = 13
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 2
License #6906358 JACKSON, RAYNYODA SHELONDA1230 NW 5TH AVEHIGH SPRINGS, FL 32643-0418
Owner: JACKSON, RAYNYODA
Phone: (386) 433-0305
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/13/2017
License #6906734 SCOTT, CHARLENE25035 NW 6TH AVNEWBERRY, FL 32669
Owner: SCOTT, CHARLENE
Phone: (352) 472-1902
Nbr Slots: 4Lic Type: STANDARDExpiry: 1/1/2017
License #6906783 WARD, JANNET16803 NW 37TH TERRGAINESVILLE, FL 32609
Owner: WARD, JANNETT
Phone: (352) 214-7814
Nbr Slots: 4Lic Type: STANDARDExpiry: 6/16/2017
COUNTY: BRADFORD Facilities = 2 Slots = 9
License #6906444 ARMISTEAD, NAOMI JANACE2876 SE 109TH STSTARKE, FL 32091-7461
Owner: ARMISTEAD, NOAMI J
Phone: (352) 468-2435
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/17/2016
License #6906643 BUCHANAN, JEFFERY5050 SE 135TH STSTARKE, FL 32091-6870
Owner: BUCHANAN, JEFFERY SCOTT
Phone: (904) 263-0055
Nbr Slots: 4Lic Type: STANDARDExpiry: 11/12/2017
COUNTY: CITRUS Facilities = 1 Slots = 5
License #6906316 GREENE, KATHRYN R575 W SHARP LANELECANTO, FL 34461
Owner: GREENE, KATHRYN R
Phone: (352) 746-7318
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/6/2017
COUNTY: HAMILTON Facilities = 1 Slots = 5
License #6906665 BRYANT, DANIELLE3181 NW 111TH PLJASPER, FL 32052
Owner: BRYANT, DANIELLE
Phone: (386) 466-4226
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/27/2016
COUNTY: HERNANDO Facilities = 13 Slots = 60
License #6906796 ADDISON, KAREN4617 GOLDCOAST AVESPRING HILL, FL 34609
Owner: ADDISON, KAREN
Phone: (352) 293-3088
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/26/2017
License #6906821 AGUILAR, BENJAMIN6240 BRISTOL LNSPRING HILL, FL 34609
Owner: AGUILAR, BENJAMIN
Phone: (352) 556-3868
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/26/2017
License #6906608 CHEVALIER, PATRICIA A1379 HENRY AVESPRING HILL, FL 34608-5120
Owner: CHEVALIER, PATRICIA ANN
Phone: (352) 200-6039
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/5/2017
License #6906403 GUERRA, ELSIE4125 EVERETT AVESPRING HILL, FL 34609-2447
Owner: GUERRA, ELSIE
Phone: (352) 556-4341
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/7/2018
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 3
License #6905728 JONES, EVELYN2197 ORCHARD PARK DRSPRING HILL, FL 34608-4973
Owner: JONES, EVELYN
Phone: (352) 688-9296
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/17/2018
License #6905138 LONG, CHERI L1287 DELTONA BLVDSPRING HILL, FL 34606
Owner: LONG, CHERI
Phone: (352) 683-5255
Nbr Slots: 4Lic Type: STANDARDExpiry: 3/3/2017
License #47 MCNEILL-POLLIAM, JEANINE7338 SPRING HILL DRSPRING HILL, FL 34606-4343
Owner: MCNEILL-PULLIAM, JEANINE MARY
Phone: (352) 683-6251
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/8/2017
License #6906585 MUSUMECI, BARBARA7130 MADRID RDWEEKI WACHEE, FL 34613-5324
Owner: MUSUMECI, BARBARA
Phone: (352) 600-7101
Nbr Slots: 4Lic Type: STANDARDExpiry: 12/10/2016
License #6906787 POLANCO, MARIA1285 VALIANT AVESPRING HILL, FL 34608
Owner: POLANCO, MARIA
Phone: (352) 515-1471
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/6/2017
License #6906601 REYES, MARIBEL10551 THORNBERRY DRSPRING HILL, FL 34608-2832
Owner: REYES, MARIBEL
Phone: (352) 688-6383
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/25/2017
License #6906706 WARTHEN, SHARON291 PLUMTREE AVESPRING HILL, FL 34606-6155
Owner: WARTHEN, SHARON DENISE
Phone: (352) 600-7279
Nbr Slots: 4Lic Type: STANDARDExpiry: 8/17/2016
License #6906810 WOLTER, ELSA H19390 POWELL RDBROOKSVILLE, FL 34604
Owner: WOLTER, ELSA H
Phone: (352) 799-9943
Nbr Slots: 4Lic Type: STANDARDExpiry: 9/16/2017
License #6906216 YASSA, SAMEH SHAFIK9302 GERONA STSPRING HILL, FL 34608-5632
Owner: YASSA, SAMEH
Phone: (352) 584-9431
Nbr Slots: 4Lic Type: STANDARDExpiry: 4/28/2018
COUNTY: LAKE Facilities = 6 Slots = 27
License #6906855 DARFUS, REBECCA H36140 CR 439EUSTIS, FL 32736
Owner: DARFUS, REBECCA H
Phone: (352) 483-2010
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/12/2018
License #6906852 GRAY-LESLIE, ROWENA27409 HAMMOCK VIEW CTYALAHA, FL 34797
Owner: GRAY-LESLIE, ROWENA
Phone: (443) 801-8492
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/13/2018
License #6906622 LAWRENCE, ELAINE500 GOSS AVELEESBURG, FL 34748-4503
Owner: LAWRENCE, ELAINE
Phone: (352) 315-1923
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/14/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 4
License #6905888 MINCEY, MALISHAS C.525 E GOTTSCHE AVEEUSTIS, FL 32726-3607
Owner: MINCEY, MALISHAS
Phone: (407) 928-1424
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/12/2017
License #6906829 STANLEY, AMANDA2494 HOLLY BERRY CIRCLERMONT, FL 34711
Owner: STANLEY, AMANDA ALISON
Phone: (516) 406-5934
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/2/2017
License #6906673 THOMAS, BETTY36154 GRAYS AIRPORT RDFRUITLAND PK, FL 34731-5484
Owner: THOMAS, BETTY
Phone: (352) 272-2537
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/6/2018
COUNTY: LEVY Facilities = 2 Slots = 7
License #6906353 JAMES, MARY VERDELL1110 NE STATE ROAD 121WILLISTON, FL 32696-9026
Owner: JAMES, MARY VERDELL
Phone: (352) 528-4887
Nbr Slots: 3Lic Type: STANDARDExpiry: 8/2/2017
License #6906181 THOMAS, VANESSA SIMPSON3731 NE 217TH CTWILLISTON, FL 32696-7048
Owner: THOMAS, VANESSA SIMPSON
Phone: (352) 528-3362
Nbr Slots: 4Lic Type: STANDARDExpiry: 1/30/2018
COUNTY: MARION Facilities = 13 Slots = 60
License #6906291 BRENNAN, ROSELLE11296 SE HIGHWAY 42SUMMERFIELD, FL 34491-8635
Owner: BRENNAN, ROSELLE E
Phone: (352) 307-0088
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/11/2016
License #6906623 BROWN, BEVERLY4671 SW 100TH LNOCALA, FL 34476
Owner: BROWN, BEVERLY DELORES
Phone: (352) 426-0600
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/21/2017
License #6906724 ELLISON, SHIRLEY2851 SW 142ND LNOCALA, FL 34473
Owner: ELLISON, SHIRLEY
Phone: (352) 470-7888
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/29/2016
License #6906773 FOGARTY-WILLIAMS, BLASELMA530 NE 52ND CTOCALA, FL 34470
Owner: FOGARTY-WILLIAMS, BLASELMA
Phone: (352) 895-8334
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/20/2017
License #6906064 KAIBIGAN, CRISTETA15660 SE 86TH CTSUMMERFIELD, FL 34491
Owner: KAIBIGAN, CRISTETA
Phone: (352) 347-3484
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/30/2017
License #6906809 MURRAY, MARGARET S11 CEDAR WAYOCALA, FL 34472
Owner: MURRAY, MARGARET S
Phone: (352) 789-8054
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/10/2017
License #6906378 NEIL, KEREN S29 PINE COURT LOOPOCALA, FL 34472-9095
Owner: NEIL, KEREN
Phone: (352) 680-0988
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/14/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 5
License #6906755 NEWMAN, SHARON KAY3539 SE 136TH PLSUMMERFIELD, FL 34491
Owner: NEWMAN, SHARON KAY
Phone: (352) 406-1452
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/25/2017
License #6906684 PHIFER, JUNE10 ALMOND PLOCALA, FL 34472-9411
Owner: PHIFER-SUMMERS, JUNE NATASHA
Phone: (352) 572-8732
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/29/2018
License #6906573 RAMKARRAN. RENUKA4600 SW 100TH STOCALA, FL 34476-7790
Owner: RAMKARRAN, RENUKA
Phone: (352) 817-6443
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/10/2016
License #6906539 RIVERS, CAMMIE48 HEMLOCK RADLOCALA, FL 34472-8689
Owner: RIVERS, CAMMIE
Phone: (352) 304-4466
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/21/2018
License #6906840 STRADE, ANGELICA1207 SE 15TH STOCALA, FL 34471
Owner: STRADE, ANGELICA CANDICE
Phone: (352) 414-5217
Nbr Slots: 1Lic Type: STANDARDExpiry: 2/4/2018
License #6905998 WHITE-THOMPSON, RUBY479 WATER RDOCALA, FL 34472-8239
Owner: WHITE-THOMPSON, RUBY
Phone: (352) 426-1224
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/30/2017
COUNTY: SUMTER Facilities = 1 Slots = 5
License #6906818 MARRION, ROSALIND7247 NORMAN STWEBSTER, FL 33597
Owner: MARRION, ROSALIND
Phone: (352) 437-0202
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/13/2017
FIELD OFFICE CODE: 04 Slots = 215Facilities = 49
COUNTY: CLAY Facilities = 4 Slots = 18
License #6906853 DANTUS, MARIE-GERVELLE2757 PEBBLERIDGE CTORANGE PARK, FL 32065
Owner: DANTUS, MARIE GERVELLE
Phone: (904) 535-6207
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/8/2018
License #6906875 GUTING, BRENETH2718 SHENANDOAH DR SORANGE PARK, FL 32073
Owner: GUTING, BRENETH
Phone: (904) 602-5389
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/31/2018
License #6906838 HARRIS, JANET3632 SUNSET OAK DRORANGE PARK, FL 32065
Owner: HARRIS, JANET
Phone: (305) 510-5829
Nbr Slots: 4Lic Type: STANDARDExpiry: 1/20/2018
License #6905291 SWARTOUT, WILLIAM4860 CHICKPEA STMIDDLEBURG, FL 32068-5957
Owner: SWARTOUT, WILLIAM
Phone: (904) 291-1962
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/22/2017
COUNTY: DUVAL Facilities = 19 Slots = 88
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 6
License #6906589 BONNER, BELINDA RASHEED4223 HOMER RD SJACKSONVILLE, FL 32209-1613
Owner: BONNER, BELINDA RASHEED
Phone: (904) 236-7051
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/7/2017
License #6906332 CAMPOS, MARINA L10731 INDIES DR NJACKSONVILLE, FL 32246-8840
Owner: CAMPOS, MARINA
Phone: (904) 642-1374
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/17/2017
License #6906801 COWART-BROWN, SHELIA DENISE7604 CALVIN STJACKSONVILLE, FL 32208
Owner: COWART-BROWN, SHELIA DENISE
Phone: (904) 207-3910
Nbr Slots: 4Lic Type: STANDARDExpiry: 8/25/2017
License #6905339 DOWDELL, DANIEL1214 SAINT CLAIR STJACKSONVILLE, FL 32254-2456
Owner: DOWDELL, DANIEL
Phone: (904) 655-3207
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/24/2018
License #6906723 FARLEY, ALTHEA3686 VICTORIA LAKES DR EJACKSONVILLE, FL 32226
Owner: FARLEY, ALTHEA ALICIA
Phone: (904) 208-8280
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/29/2016
License #31 JOHNS, DONNA M.1422 ELMAR RDJACKSONVILLE, FL 32218-1930
Owner: JOHNS, DONNA M
Phone: (904) 751-6354
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/12/2018
License #6906606 JONES, EFFIE3938 BRAMBLE RDJACKSONVILLE, FL 32210-4555
Owner: JONES, EFFIE
Phone: (904) 713-3352
Nbr Slots: 4Lic Type: STANDARDExpiry: 4/25/2017
License #6906429 JONES, MARIAN LAVONNE3501 CENTERHILL DR NJACKSONVILLE, FL 32254-3042
Owner: JONES, MARIAN LAVONNE
Phone: (904) 683-8096
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/19/2018
License #6906772 LEE, MORINE1804 UNIVERSITY BLVDJACKSONVILLE, FL 32211
Owner: LEE, MORINE
Phone: (904) 651-1606
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/17/2017
License #6905332 MONROE, ANNIE CAROL8372 COUNTRY CREEK BLVDJACKSONVILLE, FL 32221-6685
Owner: MONROE, ANNIE CAROL
Phone: (904) 783-9448
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/19/2017
License #6906679 NOEL, WISLY3431 BRAHMA BULL CIR NJACKSONVILLE, FL 32226-4879
Owner: NOEL, WISLY
Phone: (904) 554-6051
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/14/2018
License #6906843 NORTHRUP, JANET4906 FREDERICKSBURG AVEJACKSONVILLE, FL 32208
Owner: UPTON-NORTHRUP, JANET E
Phone: (904) 608-4036
Nbr Slots: 4Lic Type: STANDARDExpiry: 2/14/2018
License #6905876 PAR, BEATRIZ10120 LAKE VIEW RD WJACKSONVILLE, FL 32225-4436
Owner: PAR, BEATRIZ
Phone: (904) 642-0335
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/22/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 7
License #6906860 POTTER, ABBEY GALE15751 TWIN CREEK DRJACKSONVILLE, FL 32218
Owner: POTTER, ABBEYGALE
Phone: (904) 520-1584
Nbr Slots: 2Lic Type: STANDARDExpiry: 5/26/2018
License #6906683 RICHARDS, DEBRA4082 VICTORIA LAKES DR SJACKSONVILLE, FL 32226-0711
Owner: RICHARDS, DEBRA ALTHEA
Phone: (904) 379-0354
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/28/2018
License #33 SHIPP, DELOIS8942 6TH AVEJACKSONVILLE, FL 32208-2126
Owner: SHIPP, DELOIS W
Phone: (904) 766-1850
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/13/2017
License #6906603 ST HUBERT, AGELET764 AQUA SURF CTJACKSONVILLE, FL 32225
Owner: ST- HUBERT, AGELET
Phone: (904) 554-6051
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/28/2017
License #6905645 THOMAS, MATTIE2220 BELVEDERE STJACKSONVILLE, FL 32208-2152
Owner: THOMAS, MATTIE BELL
Phone: (904) 764-0593
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/9/2017
License #6905691 WASHINGTON, ETHEL1963 W 17TH STJACKSONVILLE, FL 32209-4775
Owner: WASHINGTON, ETHEL
Phone: (904) 355-4607
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/13/2018
COUNTY: FLAGLER Facilities = 15 Slots = 62
License #6906777 ALEXIS, MARIE ANTOINETTE63 RYBERRY DRPALM COAST, FL 32164
Owner: ALEXIS, MARIE ANTOINETTE
Phone: (386) 206-4831
Nbr Slots: 4Lic Type: STANDARDExpiry: 6/1/2017
License #6906778 ALEXIS, MARIE GILIANNE14 RICHELIEU LNPALM COAST, FL 32164
Owner: ALEXIS, MARIE GILIANNE
Phone: (386) 437-9724
Nbr Slots: 2Lic Type: STANDARDExpiry: 6/1/2017
License #6906803 ALVAREZ, JESSY35 BARRING PLPALM COAST, FL 32137
Owner: ALVAREZ, JESSY
Phone: (386) 338-7701
Nbr Slots: 4Lic Type: STANDARDExpiry: 9/1/2017
License #6906776 ANTOINE, LITHA47 PICKERING DRPALM COAST, FL 32164
Owner: ANTOINE, LITHA
Phone: (386) 864-0707
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/27/2017
License #6906482 APOLLON, JOSEPH A41 WOODLAWN DRPALM COAST, FL 32164-7915
Owner: APOLLON, JOSEPH ALEX
Phone: (386) 931-9871
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/10/2017
License #6906793 BLAKE, JAMES11 WHITE FEATHER LNPALM COAST, FL 32164
Owner: BLAKE, JAMES
Phone: (386) 445-2111
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/20/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 8
License #6906652 BONNER, RAYMOND1 LAKE PLACID LNPALM COAST, FL 32137-9505
Owner: BONNER, RAYMOND D
Phone: (386) 445-4680
Nbr Slots: 4Lic Type: STANDARDExpiry: 1/8/2018
License #6906835 BURTON, SOPHIA119 BUD HOLLOW DRPALM COAST, FL 32137
Owner: BURTON, SOPHIA
Phone: (386) 338-1978
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/6/2018
License #6906496 ETIENNE, MARC A145 WHISPERING PINE DRPALM COAST, FL 32164-7256
Owner: ETIENNE, MARC A
Phone: (386) 445-8835
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/24/2017
License #6906659 ETIENNE, RICOT33 ROXBORO DRPALM COAST, FL 32164-6966
Owner: ETIENNE, RICOT A
Phone: (386) 338-8784
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/6/2018
License #6906859 EUGENE, YOLETTE22 WOODFIELD DRPALM COAST, FL 32164
Owner: EUGENE, YOLETTE
Phone: (386) 627-8814
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/26/2018
License #6906836 GREEN, KAREN8 KATHLEEN TRLPALM COAST, FL 32164
Owner: GREEN, KAREN
Phone: (954) 461-9115
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/6/2018
License #6906826 LOUIS, MARIE ERLYNE19 BURNINGWICK PLPALM COAST, FL 32137
Owner: LOUIS, MARIE ERLYNE
Phone: (386) 631-0432
Nbr Slots: 4Lic Type: STANDARDExpiry: 12/1/2017
License #6906794 SIMS, DARNELLA184 BAYSIDE DRPALM COAST, FL 32137
Owner: SIMS, DARNELLA
Phone: (386) 597-7258
Nbr Slots: 2Lic Type: STANDARDExpiry: 7/20/2017
License #6906847 TRASYBULE, GUIRLANDE32 RYLAND DRPALM COAST, FL 32164
Owner: TRASYBULE, GUIRLANDE
Phone: (386) 313-5128
Nbr Slots: 4Lic Type: STANDARDExpiry: 3/15/2018
COUNTY: VOLUSIA Facilities = 11 Slots = 47
License #6905595 CAEDO-COLLINS, TERESITA2555 GLENCOE FARMS RDNEW SMYRNA, FL 32168-9392
Owner: CAEDO-COLLINS, TERESITA
Phone: (386) 426-7859
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/12/2018
License #6906828 CERANT, LOVE112 5TH STHOLLY HILL, FL 32117
Owner: CERANT, LOVE
Phone: (386) 265-2912
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/1/2017
License #6906880 CHA, SUNGOK BERNADETTE2913 INDIA PALM DREDGEWATER, FL 32141
Owner: CHA, SUNGOK BERNADETTE
Phone: (407) 747-4643
Nbr Slots: 2Lic Type: STANDARDExpiry: 9/8/2018
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 9
License #6906736 CLARK, ELLEN1644 ALANSON DRDELAND, FL 32724
Owner: CLARK, ELLEN
Phone: (386) 801-7881
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/8/2017
License #6906318 FIELLO, SUSAN ELIZABETH1721 VICTORY PALM DREDGEWATER, FL 32132-3114
Owner: FIELLO, SUSAN ELIZABETH
Phone: (386) 690-9036
Nbr Slots: 2Lic Type: STANDARDExpiry: 4/16/2017
License #6906460 MATUSIK, DEBBIE1580 PETERSON ROADORANGE CITY, FL 32763
Owner: MATUSIK, DEBBIE
Phone: (386) 774-6493
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/30/2017
License #6906553 RANSOM, FRANCES3172 N COVINGTON DRDELTONA, FL 32738-1675
Owner: RANSOM, FRANCES
Phone: (386) 215-2909
Nbr Slots: 3Lic Type: STANDARDExpiry: 5/28/2018
License #6905355 REDDIN, CORREAN725 PARQUE DRORMOND BEACH, FL 32174-7585
Owner: REDDIN, CORREAN
Phone: (386) 671-1469
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/18/2017
License #6906837 RIVERS, CHRISTINA8 SEAFARERS DRORMOND BEACH, FL 32176
Owner: RIVERS, CHRISTINA
Phone: (386) 405-5031
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/6/2018
License #6905280 ROBINSON, WAVOKA1289 MAYTOWN RDOAK HILL, FL 32759-9103
Owner: ROBINSON, WAVOKA
Phone: (386) 345-2022
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/20/2017
License #6906574 TIMOGENE, MARIE M.2933 COTTAGEVILLE STDELTONA, FL 32738-9791
Owner: TIMOGENE, MARIE
Phone: (386) 259-4435
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/21/2018
FIELD OFFICE CODE: 05 Slots = 120Facilities = 26
COUNTY: PASCO Facilities = 12 Slots = 57
License #6906862 FAN, HUI CHAN8914 JASMINE BLVDPORT RICHEY, FL 34668
Owner: FAN, HUICHAN
Phone: (727) 808-8813
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/26/2018
License #6906246 FRAYNE, SHIELA ROSE2730 BLUESLATE CTLAND O LAKES, FL 34638-6088
Owner: FRAYNE, SHIELA ROSE
Phone: (813) 909-8582
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/15/2018
License #6906670 HARRELL, TERRY15151 CAMROSE AVESPRING HILL, FL 34610-6742
Owner: HARRELL, TERRY PAIGE
Phone: (727) 856-5569
Nbr Slots: 4Lic Type: STANDARDExpiry: 3/26/2018
License #6905585 HOPKINS, EDITH LOUISE7425 HACKAMORE RDZEPHYRHILLS, FL 33541-9207
Owner: HOPKINS, EDITH
Phone: (813) 779-8831
Nbr Slots: 4Lic Type: STANDARDExpiry: 12/4/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 10
License #6905760 MCCARRON, STEPHANIE6163 MAPLEWOOD DRNEW PORT RICHEY, FL 34653
Owner: HY, STEPHANIE L
Phone: (727) 849-6998
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/31/2018
License #6906035 MCFETRIDGE, TERESA5714 MONROE STNEW PORT RICHEY, FL 34653
Owner: MCFETRIDGE, TERESA
Phone: (727) 847-1745
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/3/2017
License #6906825 MERISIER, ZACHEE2202 MAUREEN DRHOLIDAY, FL 34690
Owner: MERISIER, ZACHEE
Phone: (813) 732-2350
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/30/2017
License #6906760 MOORE, BIBI1828 UPPER RDWESLEY CHAPEL, FL 33543
Owner: MOORE, BIBI KHAN
Phone: (813) 917-4843
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/5/2017
License #6906552 OTHMER, NORMA DOREEN22707 RODERICK DRLAND O LAKES, FL 34639-4098
Owner: OTHMER, NORMA DOREEN
Phone: (813) 388-2818
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/16/2018
License #6906848 PRICE, TINA1201 LODESTAR DRHOLIDAY, FL 34690
Owner: PRICE, TINA
Phone: (727) 940-3650
Nbr Slots: 4Lic Type: STANDARDExpiry: 3/27/2018
License #6906371 SANTOS, ESMERALDA M.9421 BARRINGTON LNPORT RICHEY, FL 34668
Owner: SANTOS, ESMERALDA M
Phone: (727) 863-3017
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/21/2017
License #6906028 TAYLOR, ROBERT E8905 HARVEY LNPORT RICHEY, FL 34668-5212
Owner: TAYLOR, ROBERT
Phone: (727) 848-2071
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/21/2017
COUNTY: PINELLAS Facilities = 14 Slots = 63
License #6906414 BAKER, KATRINA ROBINSON1553 CLARK STCLEARWATER, FL 33755-3510
Owner: BAKER, KATRINA ROBINSON
Phone: (727) 447-4685
Nbr Slots: 3Lic Type: STANDARDExpiry: 5/5/2018
License #6906324 BAKER, ROSE1305 WOODBINE STCLEARWATER, FL 33755-2747
Owner: BAKER, ROSE
Phone: (727) 515-3766
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/28/2017
License #6906812 BOSTIC, SHALONDRIA1575 52ND AVE NSAINT PETERSBURG, FL 33703
Owner: BOSTIC, SHALONDRIA
Phone: (727) 954-4227
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/22/2017
License #6906725 BRAIDE, ALTERMAE2426 19TH ST SST PETERSBURG, FL 33712-3618
Owner: BRAIDE, ALTERMAE
Phone: (727) 686-9595
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/30/2016
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 11
License #6906767 GEORGE, CURTIS JR24 FRESHWATER DRPALM HARBOR, FL 34684
Owner: GEORGE, CURTIS JR
Phone: (813) 468-7384
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/6/2017
License #6906830 HAYNES, KATIE M4123 WHITING DR SESAINT PETERSBURG, FL 33705
Owner: HAYNES, KATIE M
Phone: (727) 821-3930
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/6/2017
License #23 KALENA, EVALOU823 SCOTLAND STDUNEDIN, FL 34698-7126
Owner: KALENA, EVALOU
Phone: (727) 733-8304
Nbr Slots: 3Lic Type: STANDARDExpiry: 11/10/2017
License #6906842 LAMPLEY, TOMMY R4734 9TH AVE SSAINT PETERSBURG, FL 33711
Owner: LAMPLEY, TOMMY R
Phone: (727) 623-3705
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/11/2018
License #6906524 LANE, GLORIA J1710 HARBOR DRCLEARWATER, FL 33755-1825
Owner: LANE, GLORIA JEAN
Phone: (727) 474-7620
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/24/2018
License #6906726 PEREZ, MELCHOR9583 SUN ISLE DR NESAINT PETERSBURG, FL 33702
Owner: PEREZ, MELCHOR FRANK
Phone: (727) 576-4700
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/6/2016
License #6906786 PRUDENT, LESLY & LISE ANTOINE LAURELLE BLANCHARD5028 34TH AVE NSAINT PETERSBURG, FL 33710
Owner: PRUDENT, LESLY
Phone: (727) 289-1439
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/30/2017
License #6906228 RAMDASS, RITA RUBINA9047 7TH ST NST PETERSBURG, FL 33702-3003
Owner: RAMDASS, RITA RUBINA
Phone: (727) 577-5030
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/22/2018
License #6905445 RUIZ, BEVERLY ANN2814 EDWARDS AVE SST PETERSBURG, FL 33705-3653
Owner: RUIZ, BEVERLY
Phone: (727) 642-6894
Nbr Slots: 3Lic Type: STANDARDExpiry: 8/2/2017
License #6905697 VIOLETTE, KEITH THOMAS350 69TH ST NCLEARWATER, FL 33764-7138
Owner: VIOLETTE, KEITH T
Phone: (727) 831-3502
Nbr Slots: 4Lic Type: STANDARDExpiry: 11/25/2017
FIELD OFFICE CODE: 06 Slots = 349Facilities = 79
COUNTY: HILLSBOROUGH Facilities = 54 Slots = 231
License #6906856 ANOZARD, BEATRICE7525 DRAGONFLY LOOPGIBSONTON, FL 33534
Owner: ANOZARD, BEATRICE
Phone: (954) 213-4855
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/16/2018
License #6906743 ARAUJO, DOROTHY11626 TROPICAL ISLE LNRIVERVIEW, FL 33579
Owner: ARAUJO, DOROTHY
Phone: (813) 862-8871
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/20/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 12
License #6905996 BISNATH, JUDY212 W LINEBAUGH AVETAMPA, FL 33612-7936
Owner: BISNATH, JUDY
Phone: (813) 932-8307
Nbr Slots: 3Lic Type: STANDARDExpiry: 5/19/2018
License #6905193 BODE, DOROTHY11930 FORT KING HWYTHONOTOSASSA, FL 33592-2804
Owner: BODE, DOROTHY
Phone: (813) 986-2567
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/14/2016
License #6906713 BUCHANAN, OLIVER11750 STERLING RDTHONOTOSASSA, FL 33592
Owner: BUCHANAN, OLIVER P
Phone: (813) 986-1278
Nbr Slots: 3Lic Type: STANDARDExpiry: 9/30/2016
License #6906628 BURROWES, RAMONA714 PARKER DEN DRRUSKIN, FL 33570-2054
Owner: BURROWES, RAMONA YVETTE
Phone: (813) 802-7451
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/7/2017
License #6905194 BURSTON, CARRIE DELL3202 E 25TH AVETAMPA, FL 33605-2142
Owner: BURSTON, CARRIE DELL
Phone: (813) 248-1571
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/17/2017
License #6906154 CHANG, RAMON2607 W HUMPHREY STTAMPA, FL 33614-1824
Owner: CHANG, RAMON
Phone: (813) 936-2273
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/1/2017
License #6905498 CONNATSER, SARAH JANE14576 BLACKJACK RDDOVER, FL 33527-4300
Owner: CONNATSER, SARAH JANE
Phone: (813) 719-2919
Nbr Slots: 4Lic Type: STANDARDExpiry: 4/27/2018
License #6906022 COX, NETTIE1536 CREEKBEND DRBRANDON, FL 33510-2351
Owner: COX, NETTIE
Phone: (813) 651-9572
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/30/2018
License #6906748 DAIGLE, ELRIDGE JR10507 SEDGEBROOK DRRIVERVIEW, FL 33569
Owner: DAIGLE, ELRIDGE
Phone: (813) 672-3880
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/19/2017
License #6906765 DAWSON, BOBBIE420 LAGUNA MILL DRRUSKIN, FL 33570
Owner: DAWSON, BOBBIE LOUISE
Phone: (813) 956-7897
Nbr Slots: 1Lic Type: STANDARDExpiry: 4/26/2017
License #6906199 DHANIERAM, BARBARA PATRICIA11320 TORREY PINES DRRIVERVIEW, FL 33579-7041
Owner: DHANIERAM, BARBARA PATRICIA
Phone: (813) 383-7162
Nbr Slots: 3Lic Type: STANDARDExpiry: 3/19/2018
License #6906877 ELISCARD, JONALDINE934 MEADOW GLADE DRRUSKIN, FL 33570
Owner: JONALDINE, ELISCARD
Phone: (941) 565-9193
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/9/2018
License #6906663 FILS-AIME, NADEGE305 VINE CLIFF STRUSKIN, FL 33570-4935
Owner: FILS AIME, NADEGE
Phone: (813) 562-0385
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/19/2018
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 13
License #29073 FRANCIS, RUBY11806 STERLING RDTHONOTOSASSA, FL 33592-2124
Owner: FRANCIS, RUBY
Phone: (813) 986-1910
Nbr Slots: 4Lic Type: STANDARDExpiry: 2/24/2018
License #6906814 FRANCOEUR, MARIE JOSEE8206 ABBEY MIST COVETAMPA, FL 33619
Owner: FRANCOEUR, MARIE JOSEE
Phone: (813) 479-3591
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/30/2017
License #6906514 GRAY, MICHAEL A8827 COBB RDRIVERVIEW, FL 33578-4927
Owner: GRAY, MICHAEL ALFRED
Phone: (813) 672-3376
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/14/2017
License #6906815 GREEN, ELIZABETH3203 PINELLAS PLTAMPA, FL 33619
Owner: GREEN, ELIZABETH
Phone: (813) 280-9795
Nbr Slots: 4Lic Type: STANDARDExpiry: 10/5/2017
License #29016 HAUGHBROOK, GUSSIE P.2501 HIGHWAY 60 EPLANT CITY, FL 33567-3829
Owner: HAUGHBROOK, GUSSIE
Phone: (813) 737-1335
Nbr Slots: 4Lic Type: STANDARDExpiry: 4/27/2018
License #6906197 HEPBURN, GLORIA R8616 FISH LAKE RDTAMPA, FL 33619-4929
Owner: HEPBURN, GLORIDA RICHARDSON
Phone: (813) 758-5393
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/12/2018
License #6906775 JACKSON, JAMILYA8207 MIDNIGHT SUN CTRIVERVIEW, FL 33578
Owner: JACKSON, JAMILYA
Phone: (813) 466-2284
Nbr Slots: 2Lic Type: STANDARDExpiry: 5/26/2017
License #6906678 JAMES, MICHELE7608 COPELAND RDODESSA, FL 33556-3205
Owner: JAMES, MICHELE CELESTINE
Phone: (813) 778-8245
Nbr Slots: 4Lic Type: STANDARDExpiry: 4/20/2018
License #6906865 JEFFERIES, KAMILLIA4231 TRUMAN DRSEFFNER, FL 33584
Owner: JEFFERIES, KAMILLIA
Phone: (813) 643-0150
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/12/2018
License #6905950 JEROME, ELIANNE D.2158 BRANDON PARK CIRBRANDON, FL 33510-3946
Owner: JEROME, ELIANNE D
Phone: (813) 654-6886
Nbr Slots: 3Lic Type: STANDARDExpiry: 1/12/2018
License #6906609 JOHNSON, DEANNA C2325 W PINE STTAMPA, FL 33607
Owner: JOHNSON, DEANNA CELES
Phone: (813) 251-8506
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/6/2017
License #2920 JONES, AGATHA1306 SEFFNER VALRICO RDSEFFNER, FL 33584-6159
Owner: JONES, AGATHA
Phone: (813) 651-9532
Nbr Slots: 3Lic Type: STANDARDExpiry: 10/21/2016
License #29041 JONES, ERMA1905 W UNION STTAMPA, FL 33607-4317
Owner: JONES, ERMA
Phone: (813) 374-1971
Nbr Slots: 3Lic Type: STANDARDExpiry: 3/30/2018
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 14
License #6905766 KELLY, EMMA509 CALHOUN AVESEFFNER, FL 33584-3614
Owner: KELLY, EMMA LEE
Phone: (813) 571-2235
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/16/2018
License #6906878 LAMADIEU, SAMANTHA709 S 51ST STTAMPA, FL 33619
Owner: LAMADIEU, SAMANTHA V
Phone: (813) 900-6018
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/23/2018
License #6905476 LESTER, PATRICIA ANN4307 E POWHATAN AVETAMPA, FL 33610-4640
Owner: LESTER, PATRICIA
Phone: (813) 632-1392
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/26/2017
License #6906839 MALLARD, RONSAE10803 CARLOWAY HILLS DRWIMAUMA, FL 33598
Owner: MALLARD, RONSAE
Phone: (386) 288-5697
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/28/2018
License #6905380 MARIN, MARIA LUISA2915 W TAMPA BAY BLVDTAMPA, FL 33607-1232
Owner: MARIN, MARIA LUISA
Phone: (813) 348-4109
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/24/2017
License #6906029 MARTINEZ, MILEDY6508 AMUNDSON CTTAMPA, FL 33634-4731
Owner: MARTINEZ, MILEDY
Phone: (813) 880-8393
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/21/2017
License #6906362 MENTOR, ROSIA6723 N 13TH STTAMPA, FL 33604-5614
Owner: MENTOR, ROSIA BAGLEY
Phone: (813) 237-0617
Nbr Slots: 3Lic Type: STANDARDExpiry: 8/20/2017
License #6906740 MILLER, JUANITA510 WYNNWOOD DRBRANDON, FL 33511
Owner: MILLER, JUANITA
Phone: (813) 385-8188
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/13/2017
License #6905097 MILLER, WILLIE RUTH4812 S 86TH STTAMPA, FL 33619-7126
Owner: MILLER, WILLIE R
Phone: (813) 672-3160
Nbr Slots: 3Lic Type: STANDARDExpiry: 8/6/2017
License #6906769 MILLER-HOLMES, ANDREA C11314 CALLAWAY POND DRRIVERVIEW, FL 33579
Owner: MILLER-HOLMES, ANDREA C
Phone: 813-532-0594
Nbr Slots: 2Lic Type: STANDARDExpiry: 5/12/2017
License #6906741 NELSON, TONYA19103 TRACY CTLUTZ, FL 33548
Owner: NELSON, TONYA VANZETTE
Phone: (813) 968-8214
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/8/2017
License #6906863 NOEL, NATACHA1014 CRISTELLE JEAN DRRUSKIN, FL 33570
Owner: NOEL, NATACHA
Phone: (813) 325-2581
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/7/2018
License #6906833 OLAJIDE, LAUREL13119 FENNWAY RIDGE DRRIVERVIEW, FL 33579
Owner: OLAJIDE, LAUREL
Phone: (813) 579-0243
Nbr Slots: 4Lic Type: STANDARDExpiry: 12/29/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 15
License #6906712 PYRON, TONIA8550 QUEEN BROOKS CTTEMPLE TERR, FL 33637-4913
Owner: PYRON, TONIA
Phone: (813) 598-4065
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/30/2016
License #6906867 REEDER, ANTHONY2931 BANZA STTAMPA, FL 33605
Owner: REEDER, ANTHONY
Phone: (813) 512-8449
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/20/2018
License #6906850 ROBERTS, RICHARD4906 S 81ST STTAMPA, FL 33619
Owner: ROBERTS, RICHARD
Phone: (813) 546-0891
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/12/2018
License #6906469 SALOMON, SANDRA M1004 LARWOOD PINE DRRUSKIN, FL 33570-5334
Owner: SALOMON, SANDRA MARIE
Phone: (813) 476-8875
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/13/2017
License #6906802 SIMEON, MARIE ELIDIANE8206 PENNYWELL PLTAMPA, FL 33615
Owner: SIMEON, MARIE ELIDIANE
Phone: (813) 445-9763
Nbr Slots: 4Lic Type: STANDARDExpiry: 8/25/2017
License #6906800 SOLIMAN, TIMOTHY M738 TANANA FALL DRRUSKIN, FL 33570
Owner: SOLIMAN, TIMOTHY M
Phone: (813) 728-0551
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/19/2017
License #6906758 STEPHENS-OATMAN, OVIA V4220 BALINGTON DRVALRICO, FL 33596
Owner: STEPHENS-OATMAN, OVIA VONCILE
Phone: (813) 684-5316
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/31/2017
License #6906580 THOMPSON, NOVLETTE3204 N 16TH STTAMPA, FL 33605-1822
Owner: THOMPSON, NOVLETTE YVONNE
Phone: (813) 458-4442
Nbr Slots: 4Lic Type: STANDARDExpiry: 11/14/2016
License #6906834 TILLMAN, KATHERINE8119 N MULBERRY STTAMPA, FL 33604
Owner: TILLMAN, KATHERINE
Phone: (813) 410-6159
Nbr Slots: 4Lic Type: STANDARDExpiry: 1/3/2018
License #6905877 VEREEN, ROBERT PONDER10010 BENJAMIN SMITH DRTHONOTOSASSA, FL 33592-3367
Owner: VEREEN, ROBERT PONDER
Phone: (813) 986-9003
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/22/2017
License #6906480 WALKER, HARVEY ANDREW607 GREEN COVE DRBRANDON, FL 33510-3817
Owner: WALKER, HARVEY ANDREW
Phone: (813) 486-3984
Nbr Slots: 4Lic Type: STANDARDExpiry: 6/27/2017
License #6905166 WILLIAMS, PHOEBE4006 E REGNAS AVETAMPA, FL 33617-6830
Owner: WILLIAMS, PHOEBE
Phone: (813) 751-6817
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/4/2017
License #6905677 WILLIAMS, SONYA501 N FREMONT AVETAMPA, FL 33606-1236
Owner: WILLIAMS, SONYA CORNELIA
Phone: (813) 254-1083
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/21/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 16
COUNTY: MANATEE Facilities = 8 Slots = 40
License #6906861 BEST, VANESSA4222 30TH LN EBRADENTON, FL 34208
Owner: BEST, VANESSA LYNN
Phone: (518) 859-1254
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/26/2018
License #6905860 CARLEY, JOHN & SHIRLEY3105 CANAL RDPALMETTO, FL 34221
Owner: CARLEY, SHIRLEY
Phone: (941) 722-1082
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/5/2018
License #6906750 DAUPHIN, MIRLENE5333 24TH ST CT EBRADENTON, FL 34203
Owner: DAUPHIN, MIRLENE
Phone: (941) 773-8213
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/26/2017
License #6906624 FORCILUS, ELMITA1712 24TH ST EPALMETTO, FL 34221-6452
Owner: FORCILUS, ELMITA
Phone: (941) 981-5903
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/22/2017
License #6906757 GUILLAURY, RUTHE1902 49TH AVE EBRADENTON, FL 34203
Owner: GUILLAURY, RUTHE
Phone: (941) 237-8174
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/31/2017
License #6906638 MAYS, EUGENIA D2606 4TH ST EBRADENTON, FL 34208-3813
Owner: MAYS, EUGENIA DELPHINE
Phone: (941) 580-0622
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/8/2017
License #6906845 SAINT-LOUIS, MARIE YVROSE5302 65 TERR EELLENTON, FL 34222
Owner: SAINT-LOUIS, MARIE YVROSE
Phone: (941) 447-3455
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/2/2018
License #6906621 WALKER-AVOINE, EVADNEY201 22ND STREET CT NEBRADENTON, FL 34208-1756
Owner: WALKER-AVOINE, EVADNEY E
Phone: (941) 747-4757
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/14/2017
COUNTY: POLK Facilities = 17 Slots = 78
License #6906754 BONZIL, GUTHO582 KOALA DRKISSIMMEE, FL 34759
Owner: BONZIL, GUTHO
Phone: (321) 442-5183
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/15/2017
License #6906761 BROWN, JOVITA MOISE2411 DORADO AVEHAINES CITY, FL 33844
Owner: BROWN, JOVITA MOISE
Phone: (863) 614-4146
Nbr Slots: 4Lic Type: STANDARDExpiry: 4/6/2017
License #6906660 DOUGLAS, JUDITH BARRETT3988 HAMPTON HILLS DRLAKELAND, FL 33810-3841
Owner: DOUGLAS, JUDITH MONICA BARRETT
Phone: (410) 245-8685
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/16/2018
License #6906039 FLENER, JENNIFER NICHOLE4740 FIGHTER RDBARTOW, FL 33830-9684
Owner: FLENER, JENNIFER NICHOLE
Phone: (863) 534-1081
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/9/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 17
License #6906156 FLYNN, COLLEEN ANITA5615 ROYAL HILLS STWINTER HAVEN, FL 33881-7703
Owner: MARSHALL, COLLEEN ANITA
Phone: (863) 307-1298
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/6/2017
License #6906729 HALL, FRANTERIA N5871 WIND RIDGE DRWINTER HAVEN, FL 33881
Owner: HALL, FRANTERIA NATESHA
Phone: (407) 272-1556
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/3/2016
License #6906492 HANNA, MURIEL111 LAKE DAVENPORT ESTATES DRDAVENPORT, FL 33897-8553
Owner: HANNA, MURIEL
Phone: (407) 451-0171
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/11/2017
License #6906328 MATHIS, VERA RENITA331 THOMASDALE AVEHAINES CITY, FL 33844-6381
Owner: MATHIS, VERA RENITA
Phone: (863) 242-1261
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/13/2017
License #6906490 MCGORDON, JACQUELINE1038 N WALKER AVELAKELAND, FL 33805-4276
Owner: MCGORDON, JACQUELINE GALE
Phone: (863) 934-8028
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/2/2017
License #6906764 MOORE, CAYONNA M3805 MCKINLEY DRWINTER HAVEN, FL 33880
Owner: MOORE, CAYONNA M
Phone: (863) 229-7186
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/21/2017
License #6906270 MORAME, JULIA5500 WATKINS RDHAINES CITY, FL 33844-6254
Owner: MORAME, JULIA
Phone: (863) 269-9753
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/24/2016
License #6906588 OBRY, GENA439 AVENUE D SEWINTER HAVEN, FL 33880-3531
Owner: OBRY, GENA
Phone: (863) 229-5419
Nbr Slots: 4Lic Type: STANDARDExpiry: 12/27/2016
License #6906614 RICHARDSON, RHONDA309 N WETMORE STLAKE WALES, FL 33853-4057
Owner: RICHARDSON, RHONDA JANEICE
Phone: (863) 223-8104
Nbr Slots: 3Lic Type: STANDARDExpiry: 5/21/2017
License #6906789 SPARKMAN, JENNIFER L1116 AVE BHAINES CITY, FL 33844
Owner: SPARKMAN, JENNIFER
Phone: (863) 605-5656
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/9/2017
License #6906331 TONEY, IRENE2962 MORRIS DRBARTOW, FL 33830-9350
Owner: TONEY, IRENE
Phone: (863) 519-6424
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/17/2017
License #6905707 WATKINS, MARILYN LOUISE620 BAKER AVEBARTOW, FL 33830-3505
Owner: WATKINS, MARILYN
Phone: (863) 533-5852
Nbr Slots: 4Lic Type: STANDARDExpiry: 1/21/2018
License #6905928 WHEELER-WILLIAMS, JANET534 LAKEVIEW DRPOINCIANA, FL 34759-5318
Owner: WILLIAMS, JANET
Phone: (863) 496-1946
Nbr Slots: 4Lic Type: STANDARDExpiry: 8/8/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 18
FIELD OFFICE CODE: 07 Slots = 247Facilities = 53
COUNTY: BREVARD Facilities = 14 Slots = 64
License #6906866 ABELARD, MARGARETTE840 DAMASK ST NEPALM BAY, FL 32905
Owner: ABELARD, MARGARETTE
Phone: (321) 914-0104
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/14/2018
License #6906762 FRATER, SHERON C1041 PEMBROKE AVE NEPALM BAY, FL 32907
Owner: FRATER, SHERON C
Phone: (321) 345-5688
Nbr Slots: 4Lic Type: STANDARDExpiry: 4/13/2017
License #6906248 FREEMAN, INEZ GWENDOLYN1771 HALFMOON ST NWPALM BAY, FL 32907-9220
Owner: FREEMAN, INEZ GWENDOLYN
Phone: (321) 956-3190
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/20/2016
License #6906656 JACQUES, MARIE LISENA DESTINE251 FALLS CHURCH ST SWPALM BAY, FL 32908-7180
Owner: JACQUES, MARIE LISENA DESTINE
Phone: (321) 265-1881
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/16/2018
License #6906355 JAMES, ANGELA933 HOOD STPALM BAY, FL 32907
Owner: JAMES, ANGELA
Phone: (321) 984-8427
Nbr Slots: 4Lic Type: STANDARDExpiry: 8/13/2017
License #6906308 JONES, PATRICIA207 OLIVICK CIR NEPALM BAY, FL 32907-1136
Owner: JONES, PATRICIA ANN
Phone: (321) 676-1714
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/21/2017
License #6905399 LAIDLAW, BERNICE2052-2054 SYRACUSE CTPALM BAY, FL 32905
Owner: LAIDLAW, BERNICE
Phone: (321) 951-2887
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/21/2017
License #6906533 LARIONNE, WITZA189 DONALD AVE NEPALM BAY, FL 32907-3158
Owner: LARIONNE, WITZA LABBE
Phone: (954) 249-7674
Nbr Slots: 4Lic Type: STANDARDExpiry: 2/9/2018
License #6906563 LEE, COLLEEN174 SYKES LOOP DRMERRITT IS, FL 32953-3043
Owner: LEE, COLLEEN
Phone: (321) 890-9634
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/19/2018
License #6906846 MCCUTCHEON, MARY3473 MAZUR DRMELBOURNE, FL 32901
Owner: MCCUTCHEON, MARY
Phone: (321) 749-9442
Nbr Slots: 4Lic Type: STANDARDExpiry: 3/10/2018
License #6906335 PROPHETE, JEANNETTE2460 S COURTENEY PKWYMERRITT ISLAND, FL 32952
Owner: PROPHETE, JEANNETTE LAMOUR
Phone: (321) 735-0814
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/2/2017
License #6906872 STEWART, DONNA149 SW HAGERTOWN STPALM BAY, FL 32908
Owner: STEWART, DONNA
Phone: (321) 505-1770
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/11/2018
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 19
License #6906251 THELAMONT, ROSE MARTHE335 ABALONE RD NWPALM BAY, FL 32907-2961
Owner: THELAMONT, ROSE MARTHE
Phone: (321) 684-8722
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/23/2018
License #6906685 WILKES, KAREN664 ORANGE CTROCKLEDGE, FL 32955-2413
Owner: WILKES, KAREN
Phone: (321) 208-0245
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/2/2018
COUNTY: ORANGE Facilities = 33 Slots = 155
License #6906538 ANDERSON, ANGELA LAING89 DOBSON STORLANDO, FL 32805-1913
Owner: ANDERSON, ANGELA LAING
Phone: (407) 237-0535
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/21/2018
License #6906851 BORT, AARON824 CLIFTON HILLS STORLANDO, FL 32828
Owner: BORT, AARON
Phone: (407) 761-7385
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/12/2018
License #6906493 BORT, ALAN I3258 NATOMA WAYORLANDO, FL 32825-7183
Owner: BORT, ALAN I
Phone: (407) 761-7385
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/15/2017
License #6906728 BORT, EDITH227 WOODBURY PINES CIRORLANDO, FL 32828-9086
Owner: BORT, EDITH
Phone: (407) 719-0496
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/13/2016
License #6906025 BRYAN, MARCIA957 ROCK CREEK STAPOPKA, FL 32712-4841
Owner: BRYAN, MARCIA
Phone: (407) 409-4998
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/31/2018
License #6906557 BUISSERETH, NANCY1686 RACHELS RIDGE LOOPOCOEE, FL 34761-9000
Owner: BUISSERETH, NANCY
Phone: (407) 690-9755
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/25/2018
License #6906616 COLLADO, VALENTINE2668 LOGANDALE DRORLANDO, FL 32817-4722
Owner: COLLADO, VALENTINE APOYAN
Phone: (407) 421-4985
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/12/2017
License #6906707 DESROCHE, YOLENE5515 OAKWAY RDORLANDO, FL 32808-2830
Owner: DESROCHE, YOLENE
Phone: (407) 952-7397
Nbr Slots: 4Lic Type: STANDARDExpiry: 8/28/2018
License #6906708 ETIENNE, YOLETTE3500 PLYMOUTH SORRENTO RDAPOPKA, FL 32712-5413
Owner: ETIENNE, YOLETTE
Phone: (407) 394-7301
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/2/2016
License #6906868 FORTIUS, PIERRE PAUL2399 LAUREL BLOSSOM CIROCOEE, FL 34761
Owner: FORTIUS, PIERRE PAUL
Phone: (407) 218-2738
Nbr Slots: 4Lic Type: STANDARDExpiry: 6/27/2018
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 20
License #6906306 FRANCIS, JOSEPH7049 HENNEPIN BLVDORLANDO, FL 32818
Owner: FRANCIS, JOSEPH
Phone: (407) 295-1189
Nbr Slots: 4Lic Type: STANDARDExpiry: 2/10/2017
License #6906823 FRANCOIS, MARIE DENISE8655 TARRAGON DRORLANDO, FL 32825
Owner: FRANCOIS, MARIE DENISE
Phone: (954) 663-2760
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/29/2017
License #6906805 GRANDIN, JOSEPHINE F1802 HINCKLEY RDORLANDO, FL 32818
Owner: GRANDIN, JOSEPHINE FELIX
Phone: (321) 217-9384
Nbr Slots: 4Lic Type: STANDARDExpiry: 9/2/2017
License #6905765 GUZMAN, DAVID3627 N APOPKA VINELAND RDORLANDO, FL 32818-8667
Owner: GUZMAN, DAVID
Phone: (407) 963-5084
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/10/2018
License #6906849 HYPPOLITE-ALPHONSE, LISE I1542 PROVIDENCE CIRORLANDO, FL 32818
Owner: HYPPOLITE-ALPHONSE, LISE I
Phone: (321) 948-8533
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/4/2018
License #6906858 JEAN-PIERRE, FLORENCE7873 TANBIER DRORLANDO, FL 32818
Owner: JEAN-PIERRE, FLORENCE
Phone: (215) 939-7560
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/25/2018
License #6906474 JEAN-PIERRE, MARYSE4505 MEADOWBROOK AVEORLANDO, FL 32808-1917
Owner: JEAN-PIERRE, MARYSE
Phone: (407) 913-1969
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/16/2017
License #6906651 LACY, ROSALYN1233 DUNBROOKE STWINTER GARDEN, FL 34787-4859
Owner: LACY, ROSALYN
Phone: (407) 287-7149
Nbr Slots: 4Lic Type: STANDARDExpiry: 12/25/2017
License #6906513 LOVE, LURINE5520 RIDGEWAY DRORLANDO, FL 32819-7435
Owner: LOVE, LURINE A
Phone: (407) 352-5540
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/1/2017
License #6906677 LUBIN, OMANE7343 BORDWINE DRORLANDO, FL 32818-3062
Owner: LUBIN, OMANE
Phone: (407) 532-5114
Nbr Slots: 4Lic Type: STANDARDExpiry: 4/15/2018
License #6906445 MAYES, VICKY7927 HAWK CREST LNORLANDO, FL 32818-1230
Owner: MAYES, VICKY
Phone: (407) 416-2057
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/19/2016
License #6906391 MERINO, DAYSI1510 DINGENS AVEWINDERMERE, FL 34786-8000
Owner: MERINO, DAYSI M
Phone: (407) 295-8872
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/4/2018
License #6906790 MILARD, CHRISLINE2653 ALCLOBE CIRCLEOCOEE, FL 34761
Owner: MILARD, CHRISLINE
Phone: (407) 879-3996
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/13/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 21
License #6906686 MILLER, MARCIA748 MELLOWOOD AVEORLANDO, FL 32825-8077
Owner: MILLER, MARCIA MARIE
Phone: (407) 219-4283
Nbr Slots: 4Lic Type: STANDARDExpiry: 6/2/2018
License #6906709 PIERRE, MARIE546 BOHANNON BLVDORLANDO, FL 32824-5905
Owner: PIERRE, MARIE MARTHE
Phone: (407) 454-3158
Nbr Slots: 4Lic Type: STANDARDExpiry: 9/8/2016
License #6905794 PONCE-BERENATO, CARMEN7224 JAFFERY CTORLANDO, FL 32835-6158
Owner: PONCE-BERENATO, CARMEN E
Phone: (407) 822-5330
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/20/2017
License #6906649 RENE, PAUL ANDRE & MONA-LISSA651 REGINA CIROAKLAND, FL 34787-8962
Owner: RENE, PAUL ANDRE
Phone: (321) 662-0040
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/17/2017
License #6906854 ROBBINS-PAGEL, CAROLYNE520 FIRST CAPE CORAL DRWINTER GARDEN, FL 34787
Owner: ROBBINS-PAGEL, CAROLYNE
Phone: (386) 337-4486
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/9/2018
License #6906462 SANTOS, MIRTHA D3220 CHADWICK ROADAPOPKA, FL 32703
Owner: SANTOS, MIRTHA D
Phone: (407) 862-9202
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/27/2017
License #6906521 SCOTT, VINNETTE1717 HIALEAH STORLANDO, FL 32808-6023
Owner: SCOTT, VINNETTE
Phone: (407) 412-6007
Nbr Slots: 4Lic Type: STANDARDExpiry: 1/16/2018
License #6906857 SINGH, RESHMA2755 GRAPEVINE CRESTOCOEE, FL 34761
Owner: SINGH, RESHMA
Phone: (407) 491-5727
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/17/2018
License #6906125 SOUVERAIN, ROSE M404 TRANQUILLE OAKS DROCOEE, FL 34761-1402
Owner: SOUVERAIN, ROSE MAGALIE
Phone: (321) 460-4138
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/14/2017
License #6906753 WOOLRIDGE, THELMA2523 LESTON CTORLANDO, FL 32817
Owner: WOOLRIDGE, THELMA
Phone: (407) 678-1251
Nbr Slots: 4Lic Type: STANDARDExpiry: 3/9/2017
COUNTY: OSCEOLA Facilities = 2 Slots = 9
License #6906871 PEYTON, SHARON5372 DAHLIA RESERVE DRKISSIMMEE, FL 34758
Owner: PEYTON, SHARON
Phone: (740) 248-3849
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/11/2018
License #6906645 WILSON, MARSHA4170 MUTTER RDSAINT CLOUD, FL 34769-6836
Owner: WILSON, MARSHA A
Phone: (407) 970-3909
Nbr Slots: 4Lic Type: STANDARDExpiry: 11/17/2017
COUNTY: SEMINOLE Facilities = 4 Slots = 19
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 22
License #6905499 ALLEYNE, KAY3910 WOODGLADE CVWINTER PARK, FL 32792-6317
Owner: ALLEYNE, KAY
Phone: (407) 657-2884
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/3/2018
License #6906719 HARRY, JAMIE M995 TUSKAWILLA RDWINTER SPGS, FL 32708-4401
Owner: HARRY, JAMIE
Phone: (407) 637-2159
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/26/2016
License #6905044 MEADE, TENNYSON A.1310 S PARK AVESANFORD, FL 32771-3464
Owner: MEADE, TENNYSON A
Phone: (407) 322-4317
Nbr Slots: 4Lic Type: STANDARDExpiry: 3/23/2017
License #6906510 RAZA, TAJ2825 WALDEN POND COVELONGWOOD, FL 32779
Owner: RAZA, TAJ
Phone: (407) 756-2595
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/19/2017
FIELD OFFICE CODE: 08 Slots = 246Facilities = 54
COUNTY: CHARLOTTE Facilities = 16 Slots = 71
License #3 BAIRD, PHYLLIS284 COMSTOCK STPT CHARLOTTE, FL 33954-3627
Owner: BAIRD, PHYLLIS
Phone: (941) 743-0778
Nbr Slots: 4Lic Type: STANDARDExpiry: 9/22/2018
License #6905514 CHERY, MARY A.1048 RENOIR STPT CHARLOTTE, FL 33952-1762
Owner: CHERY, MARY ALICE
Phone: (941) 629-9570
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/26/2018
License #6906813 EDMOND, MACHADO1418 ULTRAMARINE LNPUNTA GORDA, FL 33983
Owner: EDMOND, MACHADO
Phone: (941) 467-9232
Nbr Slots: 3Lic Type: STANDARDExpiry: 9/27/2017
License #6906484 HARRISON, SPLIDDIE23529 QUASAR BLVDPT CHARLOTTE, FL 33980-3120
Owner: HARRISON, SPLIDDIE
Phone: (941) 235-0563
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/19/2017
License #6906749 HENDRICKS, RAYMOND1306 ANNETTE STPORT CHARLOTTE, FL 33980
Owner: HENDRICKS, RAYMOND
Phone: (941) 875-0139
Nbr Slots: 4Lic Type: STANDARDExpiry: 2/24/2017
License #6906517 LUCKRAM, RAJCOMARIE3166 MARINE TERPUNTA GORDA, FL 33983-3422
Owner: LUCKRAM, RAJCOMARIE
Phone: (941) 743-6276
Nbr Slots: 4Lic Type: STANDARDExpiry: 12/1/2017
License #6906285 MOORE, IVY FLO23145 GRAY AVEPT CHARLOTTE, FL 33980-8587
Owner: MOORE, IVY FLO
Phone: (941) 627-5983
Nbr Slots: 4Lic Type: STANDARDExpiry: 11/20/2016
License #6906576 NELSON, EDDISON1292 DORCHESTER STPT CHARLOTTE, FL 33952-2512
Owner: NELSON, EDDISON MARK SR
Phone: (941) 627-6461
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/28/2016
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 23
License #6905365 NELSON, SHARON MARCIA21459 SEATON AVEPT CHARLOTTE, FL 33954-3251
Owner: NELSON, SHARON
Phone: (941) 255-8260
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/23/2017
License #6905972 PARKES, ROSYLIN23442 GARRETT AVEPORT CHARLOTTE, FL 33954
Owner: PARKES, ROSYLIN
Phone: (941) 391-6502
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/26/2017
License #6906395 PASCAL, APOLD382 POSADAS CIRPUNTA GORDA, FL 33983-5848
Owner: PASCAL, APOLD
Phone: (941) 629-8577
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/24/2018
License #6906782 PATTON, ROSEMARIE1571 BEACON DRIVEPORT CHARLOTTE, FL 33952
Owner: PATTON, ROSEMARIE
Phone: (941) 764-0841
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/14/2017
License #6906321 SEALY, LESA NORIEGA15 MADRE DE DIOS STPUNTA GORDA, FL 33983-4254
Owner: SEALY, LESA NORIEGA
Phone: (941) 629-4934
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/23/2017
License #6906738 SMITH, CLEMENT20236 PEACHLAND BLVDPORT CHARLOTTE, FL 33954
Owner: SMITH, CLEMENT GUSTAVOUS
Phone: (941) 764-7461
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/12/2017
License #6906844 STANY, WOOFKINS23143 HEMENWAY AVEPORT CHARLOTTE, FL 33980
Owner: STANY, WOOFKINS
Phone: (941) 286-3150
Nbr Slots: 4Lic Type: STANDARDExpiry: 2/17/2018
License #6906610 THOMAS, ANNETTE ANGELA18520 SATSUMA AVEPT CHARLOTTE, FL 33948-7520
Owner: THOMAS, ANNETTE ANGELA
Phone: (941) 625-8264
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/6/2017
COUNTY: COLLIER Facilities = 5 Slots = 20
License #6906348 COKE, ALVAN ST AUBYN3620 64TH AVE NENAPLES, FL 34120-2618
Owner: COKE, ALVIN ST AUBYN
Phone: (239) 348-9928
Nbr Slots: 3Lic Type: STANDARDExpiry: 7/9/2017
License #6906807 ISME, SIMELANT5218 BROWARD STNAPLES, FL 34119
Owner: ISME, SIMELANT
Phone: (239) 331-3541
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/8/2017
License #6906637 ROCA, MIRTA5364 18TH CT SWNAPLES, FL 34116-5626
Owner: ROCA, MIRTA
Phone: (239) 293-7432
Nbr Slots: 4Lic Type: STANDARDExpiry: 10/6/2017
License #6906632 SMITH, LOUISE360 37TH AVE NENAPLES, FL 34120-4360
Owner: SMITH, LOUISE
Phone: (239) 352-1086
Nbr Slots: 4Lic Type: STANDARDExpiry: 9/2/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 24
License #6906467 WEATHERSPOON, MELANIE1714 52ND TER SWNAPLES, FL 34116-5652
Owner: WHEATHERSPOON, MELANIE
Phone: (239) 352-6629
Nbr Slots: 4Lic Type: STANDARDExpiry: 3/31/2017
COUNTY: LEE Facilities = 23 Slots = 107
License #6906873 ALHADDAD, BUTHAINA AHMAD209 EAGLESMERE DRLEHIGH ACRES, FL 33936
Owner: ALHADDAD, BUTHANINA
Phone: (239) 940-4080
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/11/2018
License #6906615 CASTELLO, VENESAR744 ONTARIO AVE SLEHIGH ACRES, FL 33974-0569
Owner: CASTELLO, VENESAR ROSE
Phone: (239) 878-3506
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/23/2017
License #6906393 CHRISTMAS, WILLIE16691 1ST STALVA, FL 33920-4119
Owner: CHRISTMAS, WILLIE LEE
Phone: (239) 728-3998
Nbr Slots: 3Lic Type: STANDARDExpiry: 1/18/2018
License #6906581 DESMORNES, JOSEPH2621 SW 37TH TERCAPE CORAL, FL 33914-4888
Owner: DESMORNES, JOSEPH
Phone: (239) 204-6373
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/14/2016
License #6906497 DOUGLAS, CHERYL919 COMMODORE STLEHIGH ACRES, FL 33974-4550
Owner: DOUGLAS, CHERYL L
Phone: (239) 707-4488
Nbr Slots: 4Lic Type: STANDARDExpiry: 8/30/2017
License #6906763 EASTMOND, JULIANNE4504 LEE BLVDLEHIGH ACRES, FL 33971
Owner: EASTMOND, JULIANNE MARILYN
Phone: (239) 368-3201
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/20/2017
License #6906816 GREY, DELMA1001 CLAYTON AVELEHIGH ACRES, FL 33972
Owner: GREY, DELMA J
Phone: (386) 848-4854
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/5/2017
License #6905152 HOWELL, KEVIN LORNE6410 P G A DRN FT MYERS, FL 33917-3295
Owner: HOWELL, KEVIN LORNE
Phone: (239) 731-9007
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/3/2018
License #6905492 HUNT, CAROLYN LORRAINE205 SE 20TH CTCAPE CORAL, FL 33990-2747
Owner: HUNT, CAROLYN LORRAINE
Phone: (239) 574-8994
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/9/2018
License #6906774 JEAN-BAPTISTE, JEAN HONEL4106 7 ST SWLEHIGH ACRES, FL 33976
Owner: JEAN-BAPTISTE, JEAN HONEL
Phone: (239) 245-2606
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/20/2017
License #6905999 KETTLE, NADINE ANN ORINTHEA317 PENNFIELD AVELEHIGH ACRES, FL 33974-9495
Owner: SINGH, NADINE ANN ORINTHEA
Phone: (239) 645-2686
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/30/2018
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 25
License #6905039 LEWIS, SOPHIE MAE1774 VERONICA SHOEMAKER BLVD.FORT MYERS, FL 33916
Owner: LEWIS, SOPHIE M
Phone: (239) 332-4176
Nbr Slots: 4Lic Type: STANDARDExpiry: 2/27/2017
License #6906737 MOORE, LUZ A4303 NW 40TH STCAPE CORAL, FL 33993
Owner: MOORE, LUZ
Phone: (239) 282-9580
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/12/2017
License #6906012 ORIA, ESTELA V1439 SE 15TH STCAPE CORAL, FL 33990-3773
Owner: ORIA, ESTELA V
Phone: (239) 574-1425
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/31/2017
License #6906870 REECE, CARLISLE2324 SE 5 CTCAPE CORAL, FL 33990
Owner: REECE, CARLISLE
Phone: (239) 800-3143
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/7/2018
License #6905982 RUSSELL, MEGZIE YVONNE1902 E 6TH STLEHIGH ACRES, FL 33936-1006
Owner: RUSSELL, MEGZIE Y
Phone: (239) 368-9538
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/30/2017
License #6906611 SABINO, VIRGINIA ZETA-DELEON212 SE 21ST STCAPE CORAL, FL 33990-4359
Owner: SABINO, VIRGINIA Z
Phone: (239) 573-0086
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/6/2017
License #6906716 SAINT-LOUIS, ALIDA412 MURIEL STLEHIGH ACRES, FL 33972-1040
Owner: SAINT-LOUIS, ALIDA
Phone: (239) 200-9111
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/9/2016
License #6906730 SCOTT, SHARLENE2811 2ND ST SWLEHIGH ACRES, FL 33976
Owner: SCOTT, SHARLENE
Phone: (239) 470-8035
Nbr Slots: 4Lic Type: STANDARDExpiry: 12/9/2016
License #6906099 SINGH, BAGWANDAI2103 HANCOCK BRIDGE PKWYCAPE CORAL, FL 33990-1481
Owner: SINGH, BAGWANDAI
Phone: (239) 574-6493
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/4/2017
License #6905782 TOPIC, WALTER4231 ERINDALE DRFORT MYERS, FL 33903-5029
Owner: TOPIC, WALTER
Phone: (239) 656-0019
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/4/2017
License #6906808 TORRES, CATALINA2607 NE 22ND AVECAPE CORAL, FL 33909
Owner: TORRES, CATALINA
Phone: (954) 559-2703
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/8/2017
License #6906831 WILLIAMS, CHARMAINE420 PUTNAM AVELEHIGH ACRES, FL 33974
Owner: WILLIAMS, CHARMAINE A
Phone: (239) 789-8406
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/6/2017
COUNTY: SARASOTA Facilities = 10 Slots = 48
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 26
License #6905482 ANGLES, LUIS M5413 HAYDEN BLVDSARASOTA, FL 34232-5735
Owner: ANGLES, LUIS MARIO
Phone: (941) 378-4317
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/11/2017
License #6906701 CHAMBERS, AMANDA4817 ITALY AVENORTH PORT, FL 34288-8103
Owner: CHAMBERS, AMANDA CHANTEL
Phone: (941) 564-6938
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/16/2018
License #6906453 CHAMBERS, ROSEMARIE2225 NAMIOT CIRNORTH PORT, FL 34288-5880
Owner: CHAMBERS, ROSEMARIE
Phone: (941) 451-3912
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/2/2016
License #6906115 CHERRY, NADINE2565 PARMA STSARASOTA, FL 34231-5127
Owner: CHERRY, NADINE CAROLYN
Phone: (941) 926-2897
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/10/2017
License #6906057 HALEY, SYLVIA7501 LYNCREST STNORTH PORT, FL 34287-5535
Owner: HALEY, SYLVIA V
Phone: (941) 423-9836
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/20/2016
License #6905687 LEWIS, CAROL A12101 RONDA LNNORTH PORT, FL 34287-1468
Owner: LEWIS, CAROL ALTHEA
Phone: (941) 426-7707
Nbr Slots: 4Lic Type: STANDARDExpiry: 11/3/2017
License #6906791 MILLER, LINDA5040 VASSAR RDVENICE, FL 34293
Owner: MILLER, LINDA C
Phone: (941) 493-5706
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/14/2017
License #6906508 POWELL, YVONNE3656 LOG CABIN RDNORTH PORT, FL 34291-7083
Owner: POWELL, YVONNE JOY
Phone: (954) 536-6790
Nbr Slots: 4Lic Type: STANDARDExpiry: 9/22/2017
License #6905634 VECCHIO, FRANK & OFELIA211 GINGER RDVENICE, FL 34293-1521
Owner: VECCHIO, FRANK
Phone: (941) 408-7283
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/5/2017
License #6906344 WALTON, JEANNE ELIZABETH740 CRESTWOOD RDENGLEWOOD, FL 34223-3902
Owner: WALTON, JEANNE ELIZABETH
Phone: (941) 460-1807
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/30/2017
FIELD OFFICE CODE: 09 Slots = 156Facilities = 35
COUNTY: PALM BEACH Facilities = 21 Slots = 93
License #6906881 ALEXIS, MARIE T17797 30TH LANE NLOXAHATCHEE, FL 33470
Owner: ALEXIS, MARIE T
Phone: (561) 386-6365
Nbr Slots: 4Lic Type: STANDARDExpiry: 9/12/2018
License #6906785 AUGUSTE, JONAS1337 PINETTA CIRWELLINGTON, FL 33414
Owner: AUGUSTE, JONAS
Phone: (561) 422-7059
Nbr Slots: 4Lic Type: STANDARDExpiry: 6/21/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 27
License #6906661 BELL, JANICE1564 W 30TH STRIVIERA BEACH, FL 33404
Owner: BELL, JANICE SHEREE
Phone: (561) 444-3059
Nbr Slots: 4Lic Type: STANDARDExpiry: 2/19/2018
License #6906876 BERNARD, MARIE1451 NW 4TH STBOYNTON BEACH, FL 33435
Owner: BERNARD, MARIE
Phone: (561) 358-8084
Nbr Slots: 4Lic Type: STANDARDExpiry: 8/8/2018
License #6905820 BINNS, VALRIE2646 YARMOUTH DRWELLINGTON, FL 33414-7649
Owner: BINNS, VALRIE
Phone: (561) 422-8120
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/29/2017
License #6906527 BLACK, KIMBERLY3794 VICTORIA RDWEST PALM BCH, FL 33411-6440
Owner: BLACK, KIMBERLY
Phone: (561) 629-5067
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/31/2018
License #6906680 DAVIS, MARGARET2313 Z TERRIVIERA BEACH, FL 33404-1803
Owner: DAVIS, MARGARET ELIZABETH
Phone: (561) 863-9517
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/15/2018
License #6906722 DENNIS, MERDEL15163 82ND LN NLOXAHATCHEE, FL 33470-4334
Owner: DENNIS, MERDEL IONA
Phone: (561) 282-7974
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/28/2016
License #6906797 DOUGLAS, LYNROD116 MONTEREY WAYROYAL PALM BEACH, FL 33411
Owner: DOUGLAS, LYNROD
Phone: (561) 247-9069
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/30/2017
License #6906798 DUNKLEY, BASIL C1637 44 STWEST PALM BEACH, FL 33407
Owner: DUNKLEY, BASIL C
Phone: (561) 784-8141
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/2/2017
License #6906739 DUNN, VIVILYN411 W 30TH STRIVIERA BEACH, FL 33404
Owner: DUNN, VIVLYN SALOME
Phone: (561) 229-7000
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/13/2017
License #6906675 EMILCAR, MAGALIE103 W OCEAN DRBOYNTON BEACH, FL 33426-4338
Owner: EMILCAR, MAGALIE OLISTIN
Phone: (561) 572-7051
Nbr Slots: 4Lic Type: STANDARDExpiry: 4/6/2018
License #6906766 GRAY, ANNETTE3624 AVE DE GIENDELRAY BEACH, FL 33445
Owner: GRAY, ANNETTE
Phone: (561) 441-4145
Nbr Slots: 3Lic Type: STANDARDExpiry: 4/27/2017
License #6905994 GUISHARD, JACQUELINE608 S LOIS CTWEST PALM BCH, FL 33413-3459
Owner: GUISHARD, JACQUELINE
Phone: (561) 687-8828
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/11/2018
License #6906526 JACOBS, ALLISON S9530 HALL BLVDWEST PALM BEACH, FL 33412
Owner: JACOBS, ALLISON
Phone: (561) 791-0628
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/30/2018
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 28
License #6906811 JEAN DENIS, DUVENSON2722 OKLAHOMA STWEST PALM BEACH, FL 33406
Owner: JEAN-DENIS, DUVENSON
Phone: (619) 732-2376
Nbr Slots: 4Lic Type: STANDARDExpiry: 9/16/2017
License #6905710 JOSEY, SHIRLEY7324 WILLOW SPRINGS CIR WBOYNTON BEACH, FL 33436-9420
Owner: JOSEY, SHIRLEY AUDREY
Phone: (561) 649-6227
Nbr Slots: 3Lic Type: STANDARDExpiry: 1/25/2016
License #6906771 LEWIS, FAY7375 S WILLOW SPRING CIRBOYNTON BEACH, FL 33436
Owner: LEWIS, FAY
Phone: (561) 434-7068
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/13/2017
License #6906792 SAINT JUSTE, LEVIE14600 77TH PL NLOXAHATCHEE, FL 33470
Owner: SAINT-JUSTE, LEVIE
Phone: (561) 906-9855
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/16/2017
License #6906718 TATE, LEONIE198 DOVE CIRROYAL PLM BCH, FL 33411-1705
Owner: TATE, LEONIE ALVIRA
Phone: (561) 312-7571
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/16/2016
License #6906486 WILLIAMS, KARLENE16931 70TH ST NLOXAHATCHEE, FL 33470-3359
Owner: WILLIAMS, KARLENE
Phone: (561) 574-1257
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/19/2017
COUNTY: ST. LUCIE Facilities = 14 Slots = 63
License #6906081 ANTOINE, FRANCOISE1342 SW DEL RIO BLVDPORT ST LUCIE, FL 34953-1439
Owner: ANTOINE, FRANCOISE
Phone: (772) 873-3272
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/15/2017
License #6906322 CAMPBELL, BEVERLY SMITH2808 S 10TH STFORT PIERCE, FL 34982
Owner: CAMPBELL, BEVERLY SMITH
Phone: (772) 242-1282
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/28/2017
License #6906704 COTIN-VALCIN, CHARITE238 NW FERRIS DRPORT ST LUCIE, FL 34983-1121
Owner: VALCIN-COTIN, CHARITE R
Phone: (772) 985-4122
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/23/2016
License #6906491 CUNNINGHAM, MONICA2366 SW WEBSTER LNPORT ST LUCIE, FL 34953-5751
Owner: CUNNINGHAM, MONICA
Phone: (772) 336-8441
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/9/2017
License #6906820 FLEURISMA,GERARDA578 NW PLACID AVEPORT SAINT LUCIE, FL 34983
Owner: FLEURISMA, GERARDA
Phone: (772) 940-2167
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/21/2017
License #6906864 HILAIRE, EDOUARD SAINT298 SW CARTER AVEPORT SAINT LUCIE, FL 34983
Owner: HILAIRE, EDOUARD SAINT
Phone: (772) 301-1132
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/9/2018
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 29
License #6906464 HINSON, MAVIS600 S 10TH STFORT PIERCE, FL 34950
Owner: HINSON, MAVIS
Phone: (772) 460-8498
Nbr Slots: 3Lic Type: STANDARDExpiry: 3/1/2017
License #6906799 JOSEPH, MARIE MARTHE1737 S W BRADWAY LNPORT SAINT LUCIE, FL 34953
Owner: JOSEPH, MARIE M
Phone: (561) 541-4667
Nbr Slots: 4Lic Type: STANDARDExpiry: 8/18/2017
License #6906819 LABATTE,CLAIRE281 SW BEDFORD RDPORT SAINT LUCIE, FL 34953
Owner: LABATTE, CLAIRE
Phone: (772) 207-0280
Nbr Slots: 4Lic Type: STANDARDExpiry: 10/20/2017
License #6905990 PETERSON, MYRTLE MERINA120 MAPLE AVEFORT PIERCE, FL 34982-3431
Owner: PETERSON, MYRTLE MERINA
Phone: (772) 672-1181
Nbr Slots: 5Lic Type: STANDARDExpiry: 4/26/2017
License #6906485 PREDDIE , DENESE1066 SW CAIRO AVEPORT ST LUCIE, FL 34953-3213
Owner: PREDDIE, DENESE
Phone: (772) 777-4535
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/19/2017
License #6906759 SALIEN, JEAN MARIE6817 NW GRANGER AVEPORT SAINT LUCIE, FL 34983
Owner: SALIEN, JEAN MARIE
Phone: (772) 812-1499
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/31/2017
License #6906751 SMITH, MARIA5809 NW FALL FLOWER CTPORT SAINT LUCIE, FL 34986
Owner: SMITH, MARIA
Phone: (772) 766-3033
Nbr Slots: 3Lic Type: STANDARDExpiry: 3/3/2017
License #6906735 TURENNE, WILNIQUE4435 SW MASEFIELD STPORT SAINT LUCIE, FL 34953
Owner: TURENNE, WILNIQUE
Phone: (954) 934-5852
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/6/2017
FIELD OFFICE CODE: 10 Slots = 120Facilities = 26
COUNTY: BROWARD Facilities = 26 Slots = 120
License #6905577 BLAKE, TERVIL211 KANSAS AVEFT LAUDERDALE, FL 33312-1862
Owner: BLAKE, TERVIL
Phone: (954) 791-3289
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/18/2017
License #6906717 BROWNING, TERRYLYN11373 SW 17TH CTMIRAMAR, FL 33025
Owner: BROWNING, TERRYLYN
Phone: (954) 540-3361
Nbr Slots: 4Lic Type: STANDARDExpiry: 10/15/2016
License #6906326 CAMPBELL, ANNMARIE320 PENNSYLVANIA AVEFORT LAUDERDALE, FL 33312
Owner: CAMPBELL, ANNMARIE
Phone: (954) 327-3380
Nbr Slots: 4Lic Type: STANDARDExpiry: 4/29/2019
License #6905688 CLARKE, CLAUDETTE6150 SOUTH GATE BLVDMARGATE, FL 33068
Owner: CLARKE, CLAUDETTE
Phone: (954) 973-4010
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/11/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 30
License #6906841 DEVELIS, LOUNA7913 SW 3RD STNORTH LAUDERDALE, FL 33068
Owner: DEVELIS, LOUNA
Phone: (854) 515-2104
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/9/2018
License #6906822 FACEY, DEBRA5001 NW 41ST STLAUDERDALE LAKES, FL 33319
Owner: FACEY, DEBRA
Phone: (954) 601-7340
Nbr Slots: 3Lic Type: STANDARDExpiry: 10/27/2017
License #6906824 GIBBS, MILLICENT3410 NW 8TH STLAUDERHILL, FL 33311
Owner: GIBBS, MILLICENT
Phone: (954) 865-3382
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/29/2017
License #6906597 GREEN, JENNEPHA5532 NW 39TH AVECOCONUT CREEK, FL 33073
Owner: GREEN, JENNEPHA MAY
Phone: (754) 245-0179
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/6/2017
License #6905590 HANSON, MARTHA851 NANDINA DRWESTON, FL 33327-2408
Owner: HANSON, MARTHA VICTORIA
Phone: (954) 217-8667
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/22/2017
License #6906714 JUMPP, HALEY221 N 46TH AVEHOLLYWOOD, FL 33021
Owner: JUMPP, HAYLEY
Phone: (954) 967-8428
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/2/2016
License #6906742 PAYNE, JESSIE1930 NE 1ST TERRPOMPANO BEACH, FL 33060
Owner: PAYNE, JESSIE MAE
Phone: (954) 943-8590
Nbr Slots: 4Lic Type: STANDARDExpiry: 1/19/2017
License #6905826 PEREZ, YOSVANY3521 SW 38TH STWEST PARK, FL 33023-6356
Owner: PEREZ, YOSVANY
Phone: (954) 893-6093
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/19/2017
License #6906166 RAPHAEL, CHRISTIANA18574 SW 55TH STMIRAMAR, FL 33029-6294
Owner: RAPHAEL, CHRISTIANA
Phone: (954) 704-3940
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/2/2017
License #6905897 RHODEN, DAPHNEY430 SW 30TH AVEFT LAUDERDALE, FL 33312-2013
Owner: RHODEN, DAPHNEY
Phone: (754) 246-6200
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/28/2017
License #6906711 RICHARDSON, CLERMELINE1708 SW 11TH CTFT LAUDERDALE, FL 33312-3266
Owner: RICHARDSON, CLERMELINE
Phone: (305) 332-4057
Nbr Slots: 4Lic Type: STANDARDExpiry: 9/9/2016
License #6905834 SCHMIEL-DEGAMA, URSULA11900 NW 35TH STREETSUNRISE, FL 33323
Owner: SCHMIEL-DEGAMA, URSULA
Phone: (954) 746-2544
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/24/2017
License #6906133 SKYERS, DAPHNIE15954 SW 15TH STPEMBROKE PNES, FL 33027-5056
Owner: SKYERS, DAPHNIE
Phone: (954) 430-5672
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/4/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 31
License #6905503 SPEARS, MOSES LEE GILBERT5131 NW 87TH AVENUELAUDERHILL, FL 33351
Owner: SPEARS, MOSES LEE
Phone: (954) 237-3392
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/18/2017
License #6906874 THEOPHIN, ROSANA4561 NW 10TH AVEFORT LAUDERDALE, FL 33309
Owner: THEOPHIN, ROSANA
Phone: (754) 206-4574
Nbr Slots: 4Lic Type: STANDARDExpiry: 7/14/2018
License #6905810 THOMPSON, DIANA7464 NW 16TH STPLANTATION, FL 33313-5112
Owner: THOMPSON, DIANA
Phone: (954) 316-9313
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/4/2017
License #6906744 TULLOCH, DAKARAI1515 NW 109TH TERCORAL SPRINGS, FL 33071
Owner: TULLOCH, DAKARAI
Phone: (754) 229-8733
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/12/2017
License #6905847 TULLOCH, DIONNE R.5101 NW 47TH AVECOCONUT CREEK, FL 33073
Owner: TULLOCH, DIONNE R
Phone: (954) 428-0241
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/16/2017
License #6905881 TURNER, DOREEN7520 HARBOUR BLVDMIRAMAR, FL 33023-6564
Owner: TURNER, DOREEN A
Phone: (954) 709-7349
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/14/2017
License #6905718 WALLACE, SHEROL A.4936 HARRISON STHOLLYWOOD, FL 33021-7209
Owner: WALLACE, SHEROL
Phone: (954) 961-2763
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/10/2017
License #6905729 WILLIAMS, MAVIS7320 NEPTUNE STMIRAMAR, FL 33023
Owner: WILLIAMS, MAVIS
Phone: (954) 964-7079
Nbr Slots: 4Lic Type: STANDARDExpiry: 3/18/2017
License #6906768 WOODS, LORRIS E1330 NW 15TH TERRACEFORT LAUDERDALE, FL 33311
Owner: WOODS, LORRIS E
Phone: (954) 306-6730
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/10/2017
FIELD OFFICE CODE: 11 Slots = 69Facilities = 14
COUNTY: MIAMI-DADE Facilities = 14 Slots = 69
License #6905352 BANNISTER, MICHAEL14636 SW 95TH LNMIAMI, FL 33186-1040
Owner: BANNISTER, MICHAEL
Phone: (305) 984-8312
Nbr Slots: 5Lic Type: STANDARDExpiry: 6/11/2018
License #6906879 BARTHELUS, CLAUDENE1415 NE 200TH STMIAMI, FL 33179
Owner: BARTHELUS, CLAUDENE
Phone: (786) 262-2349
Nbr Slots: 5Lic Type: STANDARDExpiry: 8/30/2018
License #6906511 DESSALINES, MARIE18539 SW 133RD AVEMIAMI, FL 33177-4206
Owner: DESSALINES, MARIE LANDSY
Phone: (305) 484-7057
Nbr Slots: 5Lic Type: STANDARDExpiry: 10/26/2017
ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754
Date: 9/26/2016
Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT
Page 32
License #6906456 GOMEZ, MARITZA13370 SW 82ND STMIAMI, FL 33183-4123
Owner: GOMEZ, MARITZA
Phone: (786) 587-9060
Nbr Slots: 5Lic Type: STANDARDExpiry: 1/5/2017
License #6906869 HENRY, NADRA16220 NW 18TH PLMIAMI GARDENS, FL 33054
Owner: HENRY, NADRA MICHELLE
Phone: (305) 454-2854
Nbr Slots: 5Lic Type: STANDARDExpiry: 7/7/2018
License #6906681 LAZARE, GINETTE15551 NE 12TH AVEN MIAMI BEACH, FL 33162-5501
Owner: LAZARE, GINETTE
Phone: (786) 262-2592
Nbr Slots: 5Lic Type: STANDARDExpiry: 5/15/2018
License #6905135 LEON, TERESITA C.4840 SW 89TH PLMIAMI, FL 33165-6600
Owner: LEON, TERESITA C
Phone: (305) 279-9196
Nbr Slots: 5Lic Type: STANDARDExpiry: 3/8/2017
License #6905592 MCINTOSH, MOLLY ANNE22750 SW 194 AVEMIAMI, FL 33170
Owner: MCINTOSH, MOLLY ANNE
Phone: (786) 243-2425
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/2/2017
License #6905101 MOORE, DOROTHY2961 NW 210TH TEROPA LOCKA, FL 33056-1452
Owner: MOORE, DOROTHY NELL
Phone: (305) 624-5778
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/25/2017
License #6905574 MOSELEY, KATHERINE7805 SW 179TH TERPALMETTO BAY, FL 33157-6212
Owner: MOSELEY, KATHERINE LOUISE
Phone: (305) 233-4143
Nbr Slots: 5Lic Type: STANDARDExpiry: 11/3/2017
License #6905597 MULTIMORE, JAMES571 NW 152ND STMIAMI, FL 33169-6615
Owner: MULTIMORE, JAMES
Phone: (305) 456-5913
Nbr Slots: 5Lic Type: STANDARDExpiry: 2/13/2017
License #6905699 PEREZ, GRICELL B.9860 SW 32 STREETMIAMI, FL 33165
Owner: PEREZ, GRICELL
Phone: (305) 551-5887
Nbr Slots: 5Lic Type: STANDARDExpiry: 12/1/2017
License #6905755 ROY, MONIQUE & JEAN170 NE 163RD STMIAMI, FL 33162-3430
Owner: ROY, JEAN
Phone: (305) 356-6384
Nbr Slots: 4Lic Type: STANDARDExpiry: 5/16/2017
License #6906806 SUIT, MARILINE960 NE 136 STMIAMI, FL 33161
Owner: SUIT, MARILINE
Phone: (786) 290-7004
Nbr Slots: 5Lic Type: STANDARDExpiry: 9/2/2017