AGENCY FOR PERSONS WITH DISABILITIES (NPI# 1154447696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154447696 |
| Entity Type | Organization |
| Organization Name | AGENCY FOR PERSONS WITH DISABILITIES |
| Practice Address |
1621 Ne Waldo Rd Gainesville FL 32609-3900 |
| Practice Telephone | 3529555919 |
| Practice Fax Number | 3529556113 |
| Mailing Telephone | 3529555919 |
| Mailing Fax Number | 3529556113 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBRA A JACKSON (C.F.O.) |
| Authorized Official Telephone | 3529555575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PROVIDER NUMBER | K9054 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245398361 | Agency for Persons With Disabilities | Intermediate Care Facility, Mentally Retarded | 5820 Buckingham Road, Ft Myers, FL 33905-7413 | 2006-12-04 |
| 1225278989 | Agency for Persons With Disabilities | Day Training, Developmentally Disabled Services | 3700 Williams Dr, Marianna, FL 32446-7973 | 2009-02-20 |
| 1093875650 | Agency for Persons With Disabilities | Clinic/Center | 3700 Williams Drive, Marianna, FL 32446 | 2006-12-12 |
| 1548339492 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1366511214 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1275602120 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1457420309 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1184793036 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1457438244 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-01 |
| Street Address |
1621 NE WALDO RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891758009 | Timothy Hoyt Leslie | Physical Therapist | 1621 Ne Waldo Rd, Tacachale Physical Therapy Department, Gainesville, FL 32609-3900 | 2006-04-10 |
| 1659708899 | Carolyn V Lightner | Registered Nurse | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2013-10-02 |
| 1154649978 | Sharon Mayes | Nurse Practitioner | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2010-05-05 |
| 1104157643 | Jacqueline Kay Jackson | Family Medicine | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2010-01-22 |
| 1750523957 | Apd - Tacachale | Physical Therapist | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2009-04-02 |
| 1275771560 | Apd - Tacachale | Dentist | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2009-01-26 |
| 1831303676 | Karen L Victorian | Physical Therapist | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2007-05-10 |
| 1053525741 | Sherri L. Garrett | Physical Therapy Assistant | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2007-05-10 |
| 1265646913 | Joanne Barkin Oren | Physical Therapist | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2007-05-10 |
| 1437213873 | Susan Dubinsky | Physician Assistant | 1621 Ne Waldo Rd, Tacachale Medical Services, Gainesville, FL 32609-3900 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760550297 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 529 Nw 19th St, Gainesville, FL 32603-1509 | 2006-12-01 |
| 1104994748 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 5915 Nw 39th Ave, Gainesville, FL 32606-5864 | 2006-12-01 |
| 1811322746 | Salem Homes of Florida, Inc. | Intermediate Care Facility, Mentally Retarded | 529 Nw 19th St, Gainesville, FL 32603-1509 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009019 | Florida Mentor II LLC | Intermediate Care Facility, Mentally Retarded | 1045 Mar Walt Dr, Fort Walton Beach, FL 32547-6738 | 2020-10-01 |
| 1952919557 | The Vinglo House LLC | Intermediate Care Facility, Mentally Retarded | 1862 Finn Hill Dr, Boynton Beach, FL 33426-9329 | 2020-07-20 |
| 1487290730 | Noal Group Home, Inc | Intermediate Care Facility, Mentally Retarded | 13379 Key Lime Blvd, West Palm Beach, FL 33412-2150 | 2019-11-21 |
| 1770055980 | National Mentor Healthcare LLC | Intermediate Care Facility, Mentally Retarded | 1275 N Rainbow Loop, Lecanto, FL 34461-8893 | 2018-12-28 |
| 1871993899 | Diomar Anover | Intermediate Care Facility, Mentally Retarded | 17812 Wendy Sue Ave, Hudson, FL 34667-5917 | 2014-08-27 |
| 1972856011 | The Mentor Network | Intermediate Care Facility, Mentally Retarded | 1725 Fifth St, Daytona Beach, FL 32117-5107 | 2012-10-25 |
| 1366798290 | Barc Housing Inc. | Intermediate Care Facility, Mentally Retarded | 2750 Sw 75th Ave, Davie, FL 33314-1008 | 2012-07-30 |
| 1255658365 | 98 | Intermediate Care Facility, Mentally Retarded | 11314 Mahopac Rd, Weeki Wachee, FL 34614-3562 | 2010-04-28 |
| 1245404250 | Marcia A. Howell | Intermediate Care Facility, Mentally Retarded | 17305 Blooming Fields Dr, Land O Lakes, FL 34638-7222 | 2008-04-22 |
| 1497928774 | New Vue LLC Dba Key Pine Village | Intermediate Care Facility, Mentally Retarded | 6457 W Norvell Bryant Hwy, Crystal River, FL 34429-9413 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
Please comment or provide details below to improve the information on AGENCY FOR PERSONS WITH DISABILITIES.
| 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.