THE CIRCLE OF VETERANS AND FAMILIES, INC. (NPI# 1174902902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174902902 |
| Entity Type | Organization |
| Organization Name | THE CIRCLE OF VETERANS AND FAMILIES, INC. |
| Practice Address |
19717 Bower Rd Dade City FL 33523-6867 |
| Practice Telephone | 7738599006 |
| Practice Fax Number | 7274997526 |
| Mailing Telephone | 7738599006 |
| Mailing Fax Number | 7274997526 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | TICE RIDLEY (CEO) |
| Authorized Official Telephone | 7738599006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | PY 5540 | FL | Residential Treatment Facilities |
| Street Address |
19717 BOWER RD |
| City | DADE CITY |
| State | FL |
| Zip Code | 33523-6867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285258368 | Tice Ridley | Custodial Care Facility | 19717 Bower Rd, Dade City, FL 33523-6867 | 2020-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446703 | Emad Mansour | Pharmacist | 21650 Us Highway 301, Dade City, FL 33523 | 2020-10-27 |
| 1255738977 | Premier Community Healthcare Group, Inc | Clinic/Center | 38724 Mudcat Grant Blvd, Dade City, FL 33523 | 2014-11-24 |
| 1881869709 | Diana Y Leland | Massage Therapist | 15000 Citrus Country Dr, Suite 212, Dade City, FL 33523 | 2008-04-23 |
| 1659642049 | Spirit Enterprises | Nursing Care | 34213 Spirit Hills Way, Dade City, FL 33523-0630 | 2012-01-18 |
| 1851679088 | Vicky Jane Bahmann | Contractor | 36915 Patton Rd, Dade City, FL 33523-1209 | 2011-07-21 |
| 1265668966 | Carla A Bevins | Speech-Language Pathologist | 21115 Hunter Hill Dr, Dade City, FL 33523-1313 | 2009-06-09 |
| 1023139920 | Kristina May Lombardi | Pharmacist | 30704 Hawkeye Rd, Dade City, FL 33523-1943 | 2007-04-02 |
| 1942491154 | Beth Lorraine Genho | Dentist | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2007-08-05 |
| 1649882945 | Premier Community Healthcare Group, Inc | Clinic/Center | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2020-08-18 |
| 1972027654 | Momentum Physical Therapy and Fitness Pllc | Physical Therapist | 14540 7th St, Dade City, FL 33523-3101 | 2017-08-03 |
| Find all providers in zip 33523 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427688852 | Tropical Gardens LLC | Community Based Residential Treatment Facility, Mental Illness | 150 Ne 212th St, Miami Gardens, FL 33179-1017 | 2020-01-24 |
| 1417505850 | Herve Franck | Community Based Residential Treatment Facility, Mental Illness | 13901 Folkestone Cir, Wellington, FL 33414-7825 | 2019-08-28 |
| 1568014868 | Hestia House of Florida, Inc. | Community Based Residential Treatment Facility, Mental Illness | 816 N Grandview Ave # 2, Daytona Beach, FL 32118-3721 | 2019-07-16 |
| 1336628155 | Lavoryia Timmons | Community Based Residential Treatment Facility, Mental Illness | 24940 Hyde Park Blvd, Land O Lakes, FL 34639-6306 | 2018-08-13 |
| 1003324534 | Donyell Jones | Community Based Residential Treatment Facility, Mental Illness | 6239 Edgewater Dr Ste V2, Orlando, FL 32810-4764 | 2018-01-18 |
| 1437672748 | Reasons for Change, LLC | Community Based Residential Treatment Facility, Mental Illness | 143 Silver Beach Road, Lake Park, FL 33403 | 2017-07-18 |
| 1316477029 | Cerrato Associates Incorporation | Community Based Residential Treatment Facility, Mental Illness | 755 Shady Oaks Dr Apt 310, Palm Coast, FL 32164-2578 | 2017-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1780119917 | Open Arm Housing and Care | Community Based Residential Treatment Facility, Mental Illness | 4031 Nw 91st Ters, Sunrise, FL 33351 | 2017-04-25 |
| 1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
| Find all providers with the same taxonomy | ||||
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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.