COUNTRY ACRES CH (NPI# 1336582469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336582469 |
| Entity Type | Organization |
| Organization Name | COUNTRY ACRES CH |
| Practice Address |
1850 S Deleon Ave Titusville FL 32780-7733 |
| Practice Telephone | 3212645000 |
| Practice Fax Number | 3212645195 |
| Mailing Telephone | 3212645000 |
| Mailing Fax Number | 3212645195 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |
| Authorized Official Name | MRS. KATHLEEN MARIE YOUNG (RESIDENTIAL WORKER) |
| Authorized Official Telephone | 3212645000 |
| Authorized Official Credential | CBHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | =========8 | FL | Residential Treatment Facilities |
| Street Address |
1850 S DELEON AVE |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32780-7733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942369277 | The Devereux Foundation | Clinic/Center | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2006-12-06 |
| 1558960369 | Jataeva Janay Arnold | Counselor | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2020-10-22 |
| 1770137184 | Ashley Eckler Wilms | Counselor | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2019-07-25 |
| 1093231599 | Heather Ashley Rohaus | Counselor | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2017-08-16 |
| 1841530599 | Darryl D Nugent Jr. | Behavioral Analyst | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-02-17 |
| 1922348671 | Darin Lee Williams | Behavioral Analyst | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-02-17 |
| 1134468986 | Annette Stewart | Community Health Worker | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-02-13 |
| 1780922724 | Zsa Zsa Bratt | Community Health Worker | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-01-25 |
| 1174867238 | Leon Brown | Community Health Worker | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2012-11-15 |
| 1093068504 | Monell Phillips | Technician, Other | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2012-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400207 | Elizabeth Hardin | Chiropractor | Florida Sports and Spinal Rehab, 3910 S. Washington Ave., Titusville, FL 32780 | 2020-06-01 |
| 1477033934 | Eye Doctors Optical Outlets, Pa | Optometrist | 2510 S Washington, Suite 140, Titusville, FL 32780 | 2018-08-15 |
| 1427566819 | Marlene Joyce Rosenzweig | Home Health | 1415 Thornton Avenue, Titusville, FL 32780 | 2018-01-19 |
| 1962913681 | Medfast Urgent Care Center, LLC | Clinic/Center | 1840 South Washington Ave, Titusville, FL 32780 | 2017-10-20 |
| 1982122586 | Annie Durand | Physical Therapist | 4352 Derbyshire Drive, Titusville, FL 32780 | 2017-09-03 |
| 1205352341 | Hearing Healthcare Solutions, Inc. | Hearing Instrument Specialist | 2625 Barna Ave, Suite J, Titusville, FL 32780 | 2017-08-21 |
| 1134663669 | Laura Starks | Behavior Technician | 1000 Tree Lane Apt H, Titusville, FL 32780 | 2016-12-19 |
| 1235500471 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3135 Columbia Blvd, Suite 100, Titusville, FL 32780 | 2015-10-14 |
| 1174994412 | Amanda Howell | Counselor | 5280 Watermill Lane Apt 305, Titusville, FL 32780 | 2015-10-13 |
| 1609267939 | Bykota Acupuncture | Acupuncturist | 1007 South Washington Ave, Titusville, FL 32780 | 2015-02-09 |
| Find all providers in zip 32780 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609374784 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 41 Church Rd, Titusville, NJ 08560-1804 | 2018-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114546512 | Access Granted Now, Inc | Psychiatric Residential Treatment Facility | 6502 28th Ave E, Palmetto, FL 34221-8866 | 2020-04-15 |
| 1336789478 | Insight Behavioral Health & Addiction Solutions, Inc. | Psychiatric Residential Treatment Facility | 1116 Dogwood Ave, Tampa, FL 33613-1718 | 2020-01-07 |
| 1154960417 | Insight Behavioral Health & Addiction Solutions, Inc. | Psychiatric Residential Treatment Facility | 14806 Wedgewood Dr, Tampa, FL 33613-1529 | 2020-01-03 |
| 1376189951 | Blessings Treatment and Recovery Center | Psychiatric Residential Treatment Facility | 4123 Tonga Ln Apt 2, New Port Richey, FL 34653-6169 | 2019-11-19 |
| 1073168431 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 151 Southhall Ln Ste 165, Maitland, FL 32751-7486 | 2019-08-02 |
| 1730742891 | Blessings Treatment and Recovery Center LLC | Psychiatric Residential Treatment Facility | 4127 Tonga Ln Apt 2, New Port Richey, FL 34653-6168 | 2019-04-15 |
| 1194236513 | Kinder In The Keys | Psychiatric Residential Treatment Facility | 6 Ocean View Blvd, Key Largo, FL 33037-3833 | 2017-10-12 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1457898744 | Phpts of Ormond Beach, LLC | Psychiatric Residential Treatment Facility | 515 Tomoka Ave, Ormond Beach, FL 32174-6133 | 2017-01-24 |
| 1619411014 | Renaissance Healthcare Group LLC | Psychiatric Residential Treatment Facility | 119 Pasadena Pl, Orlando, FL 32803-3825 | 2016-12-05 |
| Find all providers with the same taxonomy | ||||
| City | TITUSVILLE |
| Zip Code | 32780 |
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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.