MR. REGINALD BERNARD MIMS SR. (NPI# 1427672518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427672518 |
| Entity Type | Individual |
| Full Name | MR. REGINALD BERNARD MIMS SR. |
| Practice Address |
105 Oakland Ave Sanford FL 32773-6237 |
| Practice Telephone | 4076251995 |
| Mailing Telephone | 4076251995 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | FL | Agencies |
| Street Address |
105 OAKLAND AVE |
| City | SANFORD |
| State | FL |
| Zip Code | 32773-6237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578618476 | Zealene Hatcher, Inc. | Home Health | 105 Oakland Ave, Sanford, FL 32773-6237 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962355 | United Angels Home Care Inc | In Home Supportive Care | 601 Lake Minnie Dr, # 4058, Sanford, FL 32773 | 2019-09-30 |
| 1093276537 | Hill Derm Pharmacy, Inc | Pharmacy | 3065 S. Mellonville Ave Ste B, Sanford, FL 32773 | 2019-03-27 |
| 1114446507 | Roberto Carlos Moran | Psychologist | 228 Clydesdale Circle, Sanford, FL 32773 | 2017-09-17 |
| 1316465305 | Thalia Garcia-lakongpheng | Student in an Organized Health Care Education/Training Program | 12208 Stonebrook Dr, Sanford, FL 32773 | 2017-08-30 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1306375886 | A New Beginning Family Services | Case Management | 148 Magnolia Park Trl, Sanford, FL 32773 | 2017-06-08 |
| 1427592146 | Alice Johanie Matias | Behavioral Analyst | 15208 Stonebrook Dr, Sanford, FL 32773 | 2016-12-14 |
| 1528514270 | Edward Dimauro II | Social Worker | 117 E Lake Mary Blvd, Sanford, FL 32773 | 2016-08-31 |
| 1174079420 | Beverly Glaspell | Physical Therapy Assistant | 257 Clydesdale Circle, Sanford, FL 32773 | 2016-08-28 |
| 1447607064 | Seminole Addiction Treatment Services & Counseling | Counselor | 2640 Hiawatha Avenue, Suite E, Sanford, FL 32773 | 2016-05-24 |
| Find all providers in zip 32773 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124685342 | Stoney Mae Empowerment House Florida | Community/Behavioral Health | 5724 Byron Anthony Pl Apt 146, Sanford, FL 32771-8627 | 2019-05-22 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1174959464 | Community Alternative Housing, Inc | Community/Behavioral Health | 304 S Steele St, Sanford, NC 27330-4238 | 2013-09-19 |
| 1144541731 | New Beginnings Counseling Services, Pllc | Community/Behavioral Health | 1518 S. Horner Blvd, Sanford, NC 27330-5632 | 2010-06-17 |
| 1710218201 | Monarch | Community/Behavioral Health | 214 Mciver St, Sanford, NC 27330-4343 | 2010-01-22 |
| 1053640490 | Autism Consulting Network | Community/Behavioral Health | 203 East 10th Street, Sanford, FL 32771 | 2009-12-14 |
| 1609013432 | Vc & Associates, Inc. | Community/Behavioral Health | 136 Carbonton Rd Ste B, Sanford, NC 27330-4000 | 2009-01-15 |
| 1730372525 | Baptist Children's Homes of Nc, Inc. | Community/Behavioral Health | 1091 Oaktrail Ln, Sanford, NC 27330-0989 | 2007-08-24 |
| 1245352004 | Seminole Community Mental Health Organization | Community/Behavioral Health | 919 E 2nd St, Sanford, FL 32771-2101 | 2007-04-04 |
| 1891811006 | Alternative Care Treatments Systems | Community/Behavioral Health | 2517 Watson Ave, Sanford, NC 27332-6143 | 2007-03-21 |
| Find all providers in SANFORD | ||||
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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.