DEVEREUX FOUNDATION (NPI# 1538228861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538228861 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FOUNDATION |
| Practice Address |
1600 Sarno Rd Suite 214 Melbourne FL 32835 |
| Mailing Address |
5850 T.g. Lee Boulevard Suite 400 Orlando FL 32822 |
| Practice Telephone | 3217523111 |
| Mailing Telephone | 4078124555 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-03-26 |
| Authorized Official Name | MICHAEL C BECKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4078124555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029573629 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1447882618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 147 W Academy St, Clayton, NJ 08312-1435 | 2020-02-06 |
| 1043866858 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 124 Wertsville Rd Bldg 2, Hillsborough, NJ 08844-3908 | 2019-08-16 |
| 1205494978 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Longhouse Dr Bldg B, Hewitt, NJ 07421-3730 | 2019-05-29 |
| 1023675808 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 440 Fislerville Rd, South Harrison Township, NJ 08062-4435 | 2019-05-28 |
| 1346700010 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 780 Watchung Rd, Bound Brook, NJ 08805-1455 | 2019-03-20 |
| 1609333194 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 Creek Ln, Mount Royal, NJ 08061-1039 | 2019-02-21 |
| 1902370570 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-17 |
| 1326512476 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Bloss Rd, Canadensis, PA 18325-4741 | 2019-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DEVEREUX FOUNDATION, INC., THE | 81 Sabbaday La, Washington, CT 06793 |
| Street Address |
1600 SARNO RD SUITE 214 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994270 | Vna Space Coast, Inc. | Home Health | 1600 Sarno Rd, Suite 201, Melbourne, FL 32935-4938 | 2005-06-30 |
| 1306373113 | Joseph Antonio Guerra | Specialist/Technologist, Other | 1600 Sarno Rd, Suite 15, Melbourne, FL 32935-4938 | 2017-05-11 |
| 1275060006 | Bipin Patel | Specialist/Technologist, Other | 1600 Sarno Rd, Suite 15, Melbourne, FL 32935-4938 | 2017-05-11 |
| 1851832224 | Matthew Zaleski | Registered Nurse | 1600 Sarno Rd, Suite 15, Melbourne, FL 32935-4938 | 2017-03-17 |
| 1689115115 | Alba Aldridge | Registered Nurse | 1600 Sarno Rd, Suite 15, Melbourne, FL 32935-4938 | 2017-03-16 |
| 1760923205 | Abdul Amani | Specialist/Technologist, Other | 1600 Sarno Rd, Suite 15, Melbourne, FL 32935-4938 | 2017-03-16 |
| 1174064075 | Habib Kareem | Specialist/Technologist, Other | 1600 Sarno Rd, Suite 15, Melbourne, FL 32935-4938 | 2017-03-13 |
| 1407396807 | Ragnar Fernandez Garcia | Specialist/Technologist, Other | 1600 Sarno Rd, Suite 15, Melbourne, FL 32935-4938 | 2017-03-03 |
| 1043750557 | Jose Coll | Specialist/Technologist, Other | 1600 Sarno Rd, Suite 15, Melbourne, FL 32935-4938 | 2017-03-02 |
| 1720528789 | Nasreen Yaqubi | Specialist/Technologist, Other | 1600 Sarno Rd, Suite 15, Melbourne, FL 32935-4938 | 2017-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1629460142 | Wellsrping Health of Florida | Clinic/Center | 150 W University Blvd, Florida Institute of Technology, Melbourne, FL 32901-6982 | 2015-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932851 | Florida State Nurse Registry | Clinic/Center | 290 Citrus Tower Blvd Ste 229, Clermont, FL 34711-2786 | 2020-11-02 |
| 1770181638 | Wise Future Group Support Services, LLC | Clinic/Center | 2307 Greenwillow Dr, Orlando, FL 32825-7572 | 2020-10-13 |
| 1467068817 | Health Coach Direct Primary Care Practice Pllc | Clinic/Center | 12300 Alternate A1a Ste 106, Palm Beach Gardens, FL 33410-2206 | 2020-09-21 |
| 1275166431 | Hope Community Mental Health Corp | Clinic/Center | 4801 Nw 7th St Apt 208, Miami, FL 33126-2142 | 2020-02-17 |
| 1598303208 | Harmony Healthcare Orlando Inc | Clinic/Center | 1400 S Orlando Ave Ste 204, Winter Park, FL 32789-5543 | 2019-12-12 |
| 1437705357 | True Care, Inc | Clinic/Center | 20451 S Tamiami Trl Ste 1, Estero, FL 33928-8101 | 2019-08-15 |
| 1689228884 | Greater Harvest Community Outreach Life Center | Clinic/Center | 4888 Nw 183rd St Ste 215, Miami Gardens, FL 33055-2943 | 2019-07-26 |
| 1730747163 | Advanced Community Mental Health Inc | Clinic/Center | 11093 Nw 138th St Unit 210, Hialeah Gardens, FL 33018-1192 | 2019-05-31 |
| 1578120440 | Impact Lives Consulting Group LLC | Clinic/Center | 11613 Sw 216th St, Miami, FL 33170-2933 | 2019-05-24 |
| 1609439140 | Behavioral Health & Wellness of South Florida | Clinic/Center | 11285 Sw 211th St # 202, Miami, FL 33189-2211 | 2019-04-19 |
| Find all providers with the same taxonomy | ||||
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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.