SMA HEALTHCARE INC (NPI# 1356329163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356329163 |
| Entity Type | Organization |
| Organization Name | SMA HEALTHCARE INC |
| Other Organization Name | ACT CORPORATION |
| 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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060311213 | 05 | |
| FL | 270196100 | 05 | |
| FL | 004471200 | 05 | |
| FL | 060311211 | 05 | |
| FL | 060311200 | 05 | |
| FL | 060311210 | 05 | |
| FL | 060311226 | 05 | |
| FL | 060311206 | 05 | |
| FL | 060311215 | 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 |
| 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 |
| 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 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740302181 | Friends of Accord, Inc | Clinic/Center | 150 S Palmetto Ave, Suite 103, Daytona Beach, FL 32114-4385 | 2007-04-05 |
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|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| 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.