SMA HEALTHCARE INC (NPI# 1316132772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316132772 |
| Entity Type | Organization |
| Organization Name | SMA HEALTHCARE INC |
| Other Organization Name | ACT CORPORATION |
| Practice Address |
225 Fentress Blvd Ste A Daytona Beach FL 32114-1203 |
| Mailing Address |
150 Magnolia Ave Daytona Beach FL 32114-4304 |
| Practice Telephone | 3862363221 |
| Practice Fax Number | 3862584507 |
| Mailing Telephone | 3862363200 |
| Mailing Fax Number | 3862363178 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | MR. IVAN A COSIMI (CEO) |
| Authorized Official Telephone | 3862361811 |
| Is Organization Subpart | Y |
| Parent Organization Name | SMA HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060311215 | 05 | |
| FL | 060321102 | 05 | |
| FL | 060311298 | 05 | |
| FL | 060311296 | 05 |
| Other Name | Type Code |
|---|---|
| Act Corporation | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950168 | Sma Healthcare Inc | Clinic/Center | 420 Stadium Road, Daytona Beach, FL 32114-2810 | 2020-04-10 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1114905940 | Sma Healthcare Inc | Substance Abuse Rehabilitation Facility | 1341 Indian Lake Rd, Daytona Beach, FL 32124-1039 | 2006-01-03 |
| 1487955977 | Sma Healthcare Inc | Substance Abuse Rehabilitation Facility | 301 Justice Ln, Bunnell, FL 32110-4487 | 2010-11-15 |
| 1154526556 | Sma Healthcare Inc | Community/Behavioral Health | 1220 Willis Ave, (internal Box 69), Daytona Beach, FL 32114-2810 | 2007-06-18 |
| 1336127133 | Sma Healthcare Inc | Case Management | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2006-01-03 |
| 1669450466 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1376521187 | Sma Healthcare Inc | Community Based Residential Treatment Facility, Mental Illness | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1356329163 | Sma Healthcare Inc | Clinic/Center | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2006-01-03 |
| Street Address |
225 FENTRESS BLVD STE A |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811435126 | Senior Care Source, Inc. | Day Training, Developmentally Disabled Services | 410 S. Beach St., Suite 310, Daytona Beach, FL 32114 | 2017-02-07 |
| 1922369792 | United Cerebral Palsy of East Central Florida, Inc. | Day Training, Developmentally Disabled Services | 1100 Jimmy Ann Dr, Daytona Beach, FL 32117-3920 | 2012-06-07 |
| 1134285141 | Florida Mentor | Day Training, Developmentally Disabled Services | 1725 5th Street, Daytona Beach, FL 32117-5107 | 2006-12-28 |
| 1689282071 | Lavonne Lewis | Day Training, Developmentally Disabled Services | 929 Marion St, Daytona Beach, FL 32114-6005 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528361 | Where The Heart Is Home Care Services LLC | Day Training, Developmentally Disabled Services | 110 E Broad St Apt 204, Tampa, FL 33604-4132 | 2020-11-04 |
| 1801496674 | Brandon Martinez | Day Training, Developmentally Disabled Services | 1884 Sw 81st Way, Davie, FL 33324-4609 | 2020-10-29 |
| 1639779721 | The Unique Way LLC | Day Training, Developmentally Disabled Services | 1025 S Ohio Ave Apt 15, Lakeland, FL 33803-1283 | 2020-10-28 |
| 1821696394 | Devotion of Care LLC | Day Training, Developmentally Disabled Services | 1801 Nw 3rd St, Pompano Beach, FL 33069-2756 | 2020-10-15 |
| 1538767298 | Healthy Group Home Project, LLC. | Day Training, Developmentally Disabled Services | 849 Mulberry Ave, Panama City, FL 32401-2556 | 2020-10-15 |
| 1902404742 | Brite Life Adult Training Program, LLC | Day Training, Developmentally Disabled Services | 1300 Nw 95th St, Miami, FL 33147-3320 | 2020-10-14 |
| 1134727845 | Four Seasons Aba | Day Training, Developmentally Disabled Services | 6 Meridian Home Ln, Palm Coast, FL 32137-2402 | 2020-10-14 |
| 1760089429 | Helping Angels Thrive, Inc. | Day Training, Developmentally Disabled Services | 305 Providence Rd Apt 101, Brandon, FL 33511-4739 | 2020-10-06 |
| 1245847268 | Joshua R Grant | Day Training, Developmentally Disabled Services | 2405 Almeda St, Jacksonville, FL 32209-4632 | 2020-09-24 |
| 1417562257 | Peace of Mind Home Care Services | Day Training, Developmentally Disabled Services | 1102 Ray Charles Blvd Unit 314, Tampa, FL 33602-3050 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on SMA HEALTHCARE INC.
| 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.