DEVEREUX FLORIDA (NPI# 1174945877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174945877 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FLORIDA |
| Practice Address |
5749 Westgate Dr Ste 102 Orlando FL 32835-5040 |
| Practice Telephone | 3214411030 |
| Mailing Telephone | 3214411030 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | LINDSAY ERICKSON NEWTON (PROGRAM MANAGER) |
| Authorized Official Telephone | 3214418609 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720648322 | Devereux Florida | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4119 Eagle Feather Dr, Orlando, FL 32829-8436 | 2019-06-17 |
| 1306186077 | Devereux Florida | Foster Care Agency | 1850 Olympian Way, Winter Haven, FL 33881 | 2013-02-18 |
| 1154660165 | Devereux Florida | Clinic/Center | 1010 Executive Center Dr Ste 100, Orlando, FL 32803-3521 | 2013-02-11 |
| 1366704074 | Devereux Florida | Clinic/Center | 1010 Executive Center Dr, 100, Orlando, FL 32803-3529 | 2012-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEVEREUX FLORIDA | 444 Devereux Dr, Villanova, PA 19085-1932 |
| Street Address |
5749 WESTGATE DR STE 102 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-5040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275834335 | Thomas Wilson Knight Jr. | Counselor | 5749 Westgate Dr Ste 102, Orlando, FL 32835 | 2010-11-05 |
| 1245877380 | Alisha Louicius | Counselor | 5749 Westgate Dr Ste 102, Orlando, FL 32835-5040 | 2019-12-09 |
| 1740827732 | Azmia Ricchuito Magane | Social Worker | 5749 Westgate Dr Ste 102, Orlando, FL 32835-5040 | 2019-12-09 |
| 1669016515 | Sonata Allison | Counselor | 5749 Westgate Dr Ste 102, Orlando, FL 32835-5040 | 2019-11-04 |
| 1255898813 | Tasha Austin | Counselor | 5749 Westgate Dr Ste 102, Orlando, FL 32835-5040 | 2019-03-01 |
| 1174088041 | Yvonne Lynette Thompson | Social Worker | 5749 Westgate Dr Ste 102, Orlando, FL 32835-5040 | 2019-02-05 |
| 1588133979 | Michelle Cancel Roman | Case Manager/Care Coordinator | 5749 Westgate Dr Ste 102, Orlando, FL 32835-5040 | 2018-11-15 |
| 1558889550 | Kenneth Daniel Koffer | Counselor | 5749 Westgate Dr Ste 102, Orlando, FL 32835-5040 | 2017-08-30 |
| 1093231185 | Lillie Adkins | Social Worker | 5749 Westgate Dr Ste 102, Orlando, FL 32835-5040 | 2017-08-21 |
| 1356895775 | Ashton Boston | Case Manager/Care Coordinator | 5749 Westgate Dr Ste 102, Orlando, FL 32835-5040 | 2016-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567551 | Sandra Ivette Rivera Sr. | Case Management | 7315 Kaha St Unit 344, Orlando, FL 32822-5684 | 2020-10-28 |
| 1619596517 | Inteem Health | Case Management | 11977 S Apopka Vineland Rd, Orlando, FL 32836-7025 | 2020-04-10 |
| 1386273555 | Goodlife Support Services, LLC | Case Management | 6917 Narcoossee Rd Ste 728, Orlando, FL 32822-7002 | 2020-04-08 |
| 1104466788 | Angel's Legacy, LLC | Case Management | 777 N Orange Ave Apt 716, Orlando, FL 32801-1188 | 2020-01-10 |
| 1629613559 | Eileen E Fuentes | Case Management | 12714 Moss Park Ridge Dr, Orlando, FL 32832-7086 | 2019-11-14 |
| 1306317557 | Redspot Healthcare Solutions LLC | Case Management | 180 E Landstreet Rd Ste B, Orlando, FL 32824-7862 | 2018-12-16 |
| 1740755529 | Geo Health | Case Management | 12207 Braxted Dr, Orlando, FL 32837-6533 | 2018-10-09 |
| 1366938193 | Arisbeidis Rodriguez | Case Management | 333 Canoe Trail Ln, Orlando, FL 32825-3336 | 2018-07-04 |
| 1942703707 | Mary L. Aviles | Case Management | 6474 Vineland Rd Unit 207, Orlando, FL 32819-7879 | 2018-03-16 |
| 1295236701 | Yacnorev Community Services LLC | Case Management | 750 S Orange Blossom Trl Ste 119, Orlando, FL 32805-3154 | 2018-02-21 |
| Find all providers in ORLANDO | ||||
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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.