SMA HEALTHCARE INC (NPI# 1336127133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336127133 |
| Entity Type | Organization |
| Organization Name | SMA HEALTHCARE INC |
| Other Organization Name | ACT COPORATION |
| Practice Address |
1220 Willis Ave Daytona Beach FL 32114-2810 |
| Mailing Address |
150 Magnolia Ave Daytona Beach FL 32114-4304 |
| Practice Telephone | 3862363225 |
| Practice Fax Number | 3862363175 |
| Mailing Telephone | 3862363225 |
| Mailing Fax Number | 3862363178 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | MR. IVAN A COSIMI (CEO/PRESIDENT) |
| 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 | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004497800 | 05 | |
| FL | 060311212 | 05 | |
| FL | 100348100 | 05 | |
| FL | 60311203 | 05 | |
| FL | 060311217 | 05 |
| Other Name | Type Code |
|---|---|
| Act Coporation | 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 |
| 1316132772 | Sma Healthcare Inc | Day Training, Developmentally Disabled Services | 225 Fentress Blvd Ste A, Daytona Beach, FL 32114-1203 | 2007-09-10 |
| 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 |
| 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 |
1220 WILLIS AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287747 | Catherine Virginia Root | Registered Nurse | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2005-07-05 |
| 1548806961 | Monique Evelyn | Counselor | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-11-20 |
| 1285270843 | Sarah Burrows | Social Worker | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-11-19 |
| 1154988814 | Gena Penn | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-05-28 |
| 1841764123 | Robert Batie | Social Worker | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-01-19 |
| 1457835563 | Francesca Thomas | Counselor | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-09-24 |
| 1538662630 | Gina Alexandria Kopacki-birt | Counselor | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-03-14 |
| 1972006120 | Melissa J Eugley | Social Worker | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-03-14 |
| 1720589229 | Irene Talarico | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-02-21 |
| 1134667181 | Amy Beth Mcdonnell | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2017-02-09 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1609366970 | Continuum Healthcare Corp | Case Management | 118 Cedar St, Daytona Beach, FL 32114-4904 | 2018-05-12 |
| 1205325289 | Ashia Jacquetta Harmon | Case Management | 532 S Caroline St, Daytona Beach, FL 32114-4612 | 2018-05-06 |
| 1780849745 | Medallion Health Care Services | Case Management | 308 S. Martin Luther King Blvd., Ste. 113, Daytona Beach, FL 32114 | 2008-07-18 |
| 1962673384 | Council On Aging of Volusia County, Inc. | Case Management | 420 Fentress Blvd, Daytona Beach, FL 32114-1208 | 2008-03-13 |
| 1720260722 | Outreach Community Care Network | Case Management | 240 N Frederick Ave, Suite A, Daytona Beach, FL 32114 | 2007-11-30 |
| 1205016490 | Life Individual Family Enrichment Services | Case Management | 153 White Fawn Dr, Daytona Beach, FL 32114-1464 | 2007-11-06 |
| 1831295732 | Community Based Care of Volusia and Flagler Counties, Inc. | Case Management | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2006-09-16 |
| 1033128616 | Youth Village of Volusia County Inc | Case Management | 517 S Ridgewood Ave, Daytona Beach, FL 32114-4929 | 2006-08-05 |
| 1144269036 | Neighbor To Family, Inc | Case Management | 150 S Palmetto Ave, Box R Suite 200, Daytona Beach, FL 32114-4385 | 2006-06-06 |
| 1477531374 | Childrens Advocacy Center of Volusia & Flagler County Inc. | Case Management | 344 S Beach St, Daytona Beach, FL 32114-5035 | 2006-01-03 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.