AMBER PLACE (NPI# 1558664078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558664078 |
| Entity Type | Organization |
| Organization Name | AMBER PLACE |
| Practice Address |
2365 W Amber Pl Citrus Springs FL 34434-4006 |
| Practice Telephone | 3524896444 |
| Practice Fax Number | 3524896444 |
| Mailing Telephone | 3524896444 |
| Mailing Fax Number | 3524896444 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |
| Authorized Official Name | MRS. MARCIA ANGELLA WELLINGTON (ADMINISTRATOR) |
| Authorized Official Telephone | 3524896444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | AL11222 | FL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 692012896 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | AMBER PLACE LLC | 1739 Ridgeway Avenue, Rochester, Ny 14615 |
| Street Address |
2365 W AMBER PL |
| City | CITRUS SPRINGS |
| State | FL |
| Zip Code | 34434-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821374869 | Teresa Lynn Geer | Massage Therapist | 9544 N. Citrus Spring Blvd, Citrus Springs, FL 34434 | 2011-10-21 |
| 1164571808 | Victor Jerome Beliveau | Dentist | 9535 N Citrus Springs Blvd, Citrus Springs, FL 34434 | 2007-01-10 |
| 1346561396 | Shweta Chapagain | Dentist | 9535 N Citrus Springs Blvd, Citrus Springs Dental Care, Citrus Springs, FL 34434 | 2010-06-14 |
| 1598931180 | Jane S Hoffstetter | Contractor | 2375 W Springlake Dr, Dunnellon, FL 34434-2023 | 2008-05-02 |
| 1780074567 | Shilo Allene Wagner | Counselor | 10156 N Academy Dr, Citrus Springs, FL 34434-3104 | 2015-01-30 |
| 1669535175 | Cathleen M. Kelley-weidemann | Nurse Practitioner | 10334 N Citrus Springs Blvd, Citrus Springs, FL 34434-3217 | 2006-12-18 |
| 1093810434 | West Coast Eye Institute | Optometrist | 10332 N Citrus Springs Blvd, Citrus Springs, FL 34434-3217 | 2006-09-13 |
| 1811236938 | Citrus Springs Pharmacy Inc | Pharmacy | 10479 N Florida Ave, Citrus Springs, FL 34434-3268 | 2013-02-08 |
| 1194827097 | Alex Tan Villacastin | Internal Medicine | 10489 N Florida Ave, Citrus Springs, FL 34434-3268 | 2006-09-01 |
| 1417900432 | Delores Kay White | Orthopaedic Surgery | 10495 N Florida Ave, Citrus Springs, FL 34434-3268 | 2006-05-19 |
| Find all providers in zip 34434 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568294 | Open Skyes Family Care Home, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5600 Sw 36th St, West Park, FL 33023-6106 | 2020-11-08 |
| 1124628565 | Rachelle Homehealth Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8539 Gate Pkwy W Unit 9134, Jacksonville, FL 32216-1037 | 2020-10-26 |
| 1497368203 | Careola LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3248 Landing Vw, Tavares, FL 32778-2035 | 2020-08-31 |
| 1982218764 | The Home W/ Guiding Hands | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1256 N Florida Ave, Tarpon Springs, FL 34689-2004 | 2020-08-31 |
| 1306459359 | Joy-little Enterprise LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9148 Ridge Blvd, Jacksonville, FL 32208-1265 | 2020-08-28 |
| 1720691082 | Ohana In Home Senior Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 421 W Georgia St, Tallahassee, FL 32301-1011 | 2020-08-26 |
| 1003428467 | Pamella Omelda Odoms-brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 541 Shirley Dr., Apopka, FL 32712 | 2020-08-18 |
| 1831700020 | Mikerline Lyns | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10941 Winding Creek Ln, Boca Raton, FL 33428-5664 | 2020-08-12 |
| 1902416993 | Faith Care Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3800 Inverrary Blvd Ste 408d, Lauderhill, FL 33319-4359 | 2020-08-04 |
| 1063020188 | Kristine Kaiser Cravener | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1095 Beckman Dr, South Daytona, FL 32119-2499 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | CITRUS SPRINGS |
| Zip Code | 34434 |
Please comment or provide details below to improve the information on AMBER PLACE.
| 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.