RESIDENTIAL CRF, INC (NPI# 1114065943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114065943 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL CRF, INC |
| Practice Address |
2603 State Ave Panama City FL 32405-4359 |
| Mailing Address |
700 W 23rd St Suite 52 Panama City FL 32405-3936 |
| Practice Telephone | 8507850605 |
| Practice Fax Number | 8507858061 |
| Mailing Telephone | 8507850605 |
| Mailing Fax Number | 8507858061 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FRED SCHILLING (CFO) |
| Authorized Official Telephone | 7658276996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528105988 | Residential Crf, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1204 W 13th St, Panama City, FL 32401-2015 | 2007-02-01 |
| 1316085699 | Residential Crf, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2133 E 12th St, Lynn Haven, FL 32444-3109 | 2007-02-01 |
| 1942306790 | Residential Crf, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 624 University Ave, Suite 500, Las Vegas, NM 87701-4278 | 2006-09-16 |
| Street Address |
2603 STATE AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568874139 | National Mentor Heatlthcare, LLC | Intermediate Care Facility, Mentally Retarded | 2603 State Ave, Panama City, FL 32405-4359 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528105988 | Residential Crf, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1204 W 13th St, Panama City, FL 32401-2015 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396461 | Hillendale Cares LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27357 Frampton Ave, Brooksville, FL 34602-7306 | 2020-11-02 |
| 1699375485 | Violange Joseph | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3310 Sw Frankford St, Port St Lucie, FL 34953-4937 | 2020-10-29 |
| 1407468986 | Winchester Oaks Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 871 Winchester St, Daytona Beach, FL 32114-1977 | 2020-08-17 |
| 1609486844 | Aclaris Care Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7711 N Rome Ave, Tampa, FL 33604-4615 | 2020-08-03 |
| 1386253987 | Rosa Estela Companioni | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6704 Commodore Way, Tampa, FL 33615-5810 | 2020-07-29 |
| 1972121192 | Victorian Manor, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11150 Sw 42nd Ct, Davie, FL 33328-2140 | 2020-07-14 |
| 1881233716 | Elizabeth Stapleton | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4628 25th St Sw, Lehigh Acres, FL 33973-6161 | 2019-12-23 |
| 1689217887 | Angelchild Homecare Corp Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1641 Sunset Point Rd, Clearwater, FL 33755-1657 | 2019-10-21 |
| 1659927325 | Coby Cares Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1754 Barnstable Rd, Wellington, FL 33414-6143 | 2019-08-17 |
| 1518520725 | Freshen Schammua Docile | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9097 Sw 4th St, Boca Raton, FL 33433-4607 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.