HOPE CLUBHOUSE OF SOUTHWEST FLORIDA, INC.


Address: 3602 Broadway, Fort Myers, FL 33901-8005
Phone: 2392671777

HOPE CLUBHOUSE OF SOUTHWEST FLORIDA, INC. (NPI# 1427492396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427492396
Entity Type Organization
Organization Name HOPE CLUBHOUSE OF SOUTHWEST FLORIDA, INC.
Practice Address 3602 Broadway
Fort Myers
FL 33901-8005
Practice Telephone 2392671777
Practice Fax Number 2392671774
Mailing Telephone 2392671777
Mailing Fax Number 2392671774
Enumeration Date 2013-04-23
Last Update Date 2014-02-05
Authorized Official Name AIME KUNES (PROGRAM DIRECTOR)
Authorized Official Telephone 2392671777
Authorized Official Credential LMHC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 3602 BROADWAY
City FORT MYERS
State FL
Zip Code 33901-8005

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

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NPI Name Taxonomy Address Enumeration
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1922615491 The-merger Corp Community/Behavioral Health 3800 Colonial Blvd Ste 201, Fort Myers, FL 33966-1075 2020-09-28
1649814427 Naples Behavioral, Inc. Community/Behavioral Health 12631 World Plaza Ln Bldg 54, Fort Myers, FL 33907-3990 2019-11-04
1184145559 National Youth Advocate Program, Inc Community/Behavioral Health 4150 Ford St, Fort Myers, FL 33916-9498 2017-07-06
1366980187 My Precious Kids Therapy Center Inc Community/Behavioral Health 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 2017-02-01
1891167771 Nextep Counseling and Clinical Services, LLC. Community/Behavioral Health 6314 Corporate Ct Ste 110, Fort Myers, FL 33919-3516 2015-10-30
1326422544 United Way of Lee County, Inc. Community/Behavioral Health 7273 Concourse Dr, Fort Myers, FL 33908-2604 2015-07-17
1558752642 Nextep Counseling and Clinical Services LLC Community/Behavioral Health 6313 Corporate Ct Ste 130, Fort Myers, FL 33919-3509 2015-02-10
1194128066 Genesis Counseling Center Community/Behavioral Health 8359 Beacon Blvd Ste 200, Fort Myers, FL 33907-3065 2014-10-06
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Competitor

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City FORT MYERS
Zip Code 33901

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Dataset Information

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.

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