SEQUELCARE OF FLORIDA, LLC (NPI# 1295254456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295254456 |
| Entity Type | Organization |
| Organization Name | SEQUELCARE OF FLORIDA, LLC |
| Practice Address |
1910 82nd Ave Vero Beach FL 32966-6990 |
| Mailing Address |
3491 Gandy Blvd N Pinellas Park FL 33781-2658 |
| Practice Telephone | 7724929841 |
| Practice Fax Number | 7724929846 |
| Mailing Telephone | 7275470607 |
| Mailing Fax Number | 7275476752 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | MRS. ANGELA NICOLE JONES (PRACTICE MANAGER) |
| Authorized Official Telephone | 7275470607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | HCC10069 | FL | Agencies |
| Y | 251S00000X | Community/Behavioral Health | HCC10069 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194234260 | Sequelcare of Florida, LLC | Case Management | 3491 Gandy Blvd, Suite 201, Pinellas Park, FL 33781-2658 | 2017-09-21 |
| 1871043901 | Sequelcare of Florida, LLC | Social Worker | 567 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986-1629 | 2016-10-13 |
| Street Address |
1910 82ND AVE |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32966-6990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730402678 | Clint Landon Wells | Speech-Language Pathologist | 1910 82nd Ave, Suite 104, Vero Beach, FL 32966-6990 | 2010-03-07 |
| 1174150940 | Victoria Barker | Social Worker | 1910 82nd Ave, Vero Beach, FL 32966-6990 | 2020-03-24 |
| 1699248070 | Suzette Lois Reddie | Case Manager/Care Coordinator | 1910 82nd Ave, Vero Beach, FL 32966-6990 | 2019-01-08 |
| 1982140752 | Tamera Simmons | Social Worker | 1910 82nd Ave, Ste 102, Vero Beach, FL 32966-6990 | 2017-01-17 |
| 1356798516 | Sarah James | Social Worker | 1910 82nd Ave, Suite 102, Vero Beach, FL 32966-6990 | 2016-05-18 |
| 1184081051 | Kristina Browner | Social Worker | 1910 82nd Ave, Suite 102, Vero Beach, FL 32966-6990 | 2016-01-24 |
| 1942628367 | Otilia Maria Van Der Veken | Counselor | 1910 82nd Ave, Vero Beach, FL 32966-6990 | 2014-04-02 |
| 1235552332 | Jacob Ferguson | Social Worker | 1910 82nd Ave, Vero Beach, FL 32966-6990 | 2014-01-24 |
| 1174962708 | Jennifer Willenbrock | Social Worker | 1910 82nd Ave, Suite 102, Vero Beach, FL 32966-6990 | 2013-06-17 |
| 1548504392 | Carrie Williams | Counselor | 1910 82nd Ave, Vero Beach, FL 32966-6990 | 2012-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881103141 | Patricha Wilby Powell | Custodial Care Facility | 4016 57terr, Vero Beach, FL 32966 | 2017-09-29 |
| 1659677953 | Bonnie J Butler | Home Health Aide | 603 Tangelo Circle Sw, Vero Beach, FL 32966 | 2011-02-03 |
| 1932348695 | Regina Torrance | Occupational Therapy Assistant | 2200 Indian Creek Blvd West, Vero Beach, FL 32966 | 2009-02-19 |
| 1689812109 | Hma/solantic Joint Venture, LLC | Clinic/Center | 1820 58th Ave., Unit 110, Vero Beach, FL 32966 | 2009-01-22 |
| 1174735310 | Michael W. Bailey | Dentist | 6610 20th St, Vero Beach, FL 32966 | 2007-05-03 |
| 1376761841 | Brian Wilsey | Physical Therapy Assistant | 2200 Indian Crek Blvd., Vero Beach, FL 32966 | 2007-04-23 |
| 1417174061 | Tiffany Ann Spallone | Dentist | 2166 58th Ave, Vero Beach, FL 32966 | 2007-04-18 |
| 1114046604 | Bettina Leigh Smith | Physical Therapy Assistant | 7975 17 Lane, Vero Beach, FL 32966 | 2007-03-28 |
| 1831214873 | Wendy J Starnes | Occupational Therapist | 7975 17th Ln, Vero Beach, FL 32966 | 2007-03-20 |
| 1457476541 | Arbors Retirement, LLC | Assisted Living Facility | 7975 17th Lane, Vero Beach, FL 32966 | 2007-03-20 |
| Find all providers in zip 32966 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104091 | Uccare Health LLC | Community/Behavioral Health | 1807 Berkshire Cir Sw, Vero Beach, FL 32968-6720 | 2020-08-11 |
| 1700441615 | Pattern for Purpose, LLC. | Community/Behavioral Health | 765 10th Ave Sw, Vero Beach, FL 32962-4413 | 2019-05-06 |
| 1780118836 | Mcgill Center for Independent Living LLC | Community/Behavioral Health | 920 Southlakes Way Sw, Vero Beach, FL 32968-7526 | 2017-04-15 |
| 1417317926 | The Tate Center Inc | Community/Behavioral Health | 7986 100th Ave, Vero Beach, FL 32967-2754 | 2016-02-25 |
| 1376926188 | Leaps-asd LLC | Community/Behavioral Health | 1917 Sixty Oaks Ln, Vero Beach, FL 32966-1078 | 2015-06-30 |
| 1063702066 | James A. Robison, Psy.d., P.a. | Community/Behavioral Health | 800 20th Pl, Suite 2, Vero Beach, FL 32960-5391 | 2011-04-11 |
| 1831270644 | Behavior Building Blocks, LLC | Community/Behavioral Health | 4245 13th Pl, Vero Beach, FL 32960-3838 | 2006-10-18 |
| 1760570451 | Mental Health Association In Indian River County Inc | Community/Behavioral Health | 820 37th Place, Vero Beach, FL 32960-6562 | 2006-10-10 |
| 1245775931 | Seaside Psychological Services, LLC | Community/Behavioral Health | 1705 19th Pl, Suite E-2, Vero Beach, FL 32960-0686 | 2017-01-04 |
| 1952786881 | Behavioral Stepping Stones LLC | Community/Behavioral Health | 355 9th Pl, Vero Beach, FL 32960-6819 | 2015-07-21 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32966 |
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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.