BAYSHORE TBI, INC. (NPI# 1558802140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558802140 |
| Entity Type | Organization |
| Organization Name | BAYSHORE TBI, INC. |
| Practice Address |
2201 Cantu Ct Suite 119 Sarasota FL 34232-6260 |
| Practice Telephone | 9419930797 |
| Practice Fax Number | 9412605907 |
| Mailing Telephone | 9419930797 |
| Mailing Fax Number | 9412605907 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | MR. MITCHELL DITTMAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9419930797 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 233926 | FL | Residential Treatment Facilities |
| Street Address |
2201 CANTU CT SUITE 119 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34232-6260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255366498 | Robert Alan Weiss | Pediatrics | 2201 Cantu Ct, Suite 117, Sarasota, FL 34232-6260 | 2006-07-12 |
| 1770022501 | Alison Griffin | Registered Nurse | 2201 Cantu Ct, Suite 117, Sarasota, FL 34232-6260 | 2017-02-13 |
| 1548719479 | Vituro Health of Sarasota, LLC | Specialist | 2201 Cantu Ct, Suite 219, Sarasota, FL 34232-6260 | 2016-10-04 |
| 1063759314 | Weiss Pediatric Care, LLC | Pediatrics | 2201 Cantu Ct, Sarasota, FL 34232-6260 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1346736923 | Coastal In Home Senior Care | Adult Companion | 2609 Briar Oak Circle, Sarasota, FL 34232 | 2018-07-06 |
| 1508215450 | Stacy Centeno | Nurse Practitioner | 943 S Beneva Rd Ste 210, Sarasota, FL 34232 | 2016-06-10 |
| 1912307265 | Luis Guillermo Guzman | Internal Medicine | 943 S Beneva Rd Ste 201, Sarasota, FL 34232 | 2014-08-23 |
| 1225445190 | At Talitha Cumi Home Care, Inc | Home Health | 4647 Fruitville Rd, Suite 3388, Sarasota, FL 34232 | 2014-07-12 |
| 1790100543 | Ph Sarasota, LLC | Assisted Living Facility | 743 South Beneva Rd, Sarasota, FL 34232 | 2014-03-03 |
| 1437570264 | Leigh Ann Spohn | Occupational Therapy Assistant | 5115 Lahaina Dr., Sarasota, FL 34232 | 2013-12-20 |
| 1770917023 | Florida Mobility Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 5975 Cattlemen Lane, Sarasota, FL 34232 | 2013-08-22 |
| 1912345109 | Cb Medical LLC | Home Health | 619 Cattlemen Rd, Unit 54, Sarasota, FL 34232 | 2013-06-10 |
| 1598009318 | Margaret Donaker | Speech-Language Pathologist | 2727 Teal Ave., Sarastoa, FL 34232 | 2012-11-16 |
| Find all providers in zip 34232 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982988911 | Life Counseling Professional Services | Community Based Residential Treatment Facility, Mental Illness | 1250 S Tamiami Trl, Suite 201, Sarasota, FL 34239-2221 | 2011-10-10 |
| 1710168893 | Robert Peters | Community Based Residential Treatment Facility, Mental Illness | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2007-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427688852 | Tropical Gardens LLC | Community Based Residential Treatment Facility, Mental Illness | 150 Ne 212th St, Miami Gardens, FL 33179-1017 | 2020-01-24 |
| 1417505850 | Herve Franck | Community Based Residential Treatment Facility, Mental Illness | 13901 Folkestone Cir, Wellington, FL 33414-7825 | 2019-08-28 |
| 1568014868 | Hestia House of Florida, Inc. | Community Based Residential Treatment Facility, Mental Illness | 816 N Grandview Ave # 2, Daytona Beach, FL 32118-3721 | 2019-07-16 |
| 1336628155 | Lavoryia Timmons | Community Based Residential Treatment Facility, Mental Illness | 24940 Hyde Park Blvd, Land O Lakes, FL 34639-6306 | 2018-08-13 |
| 1003324534 | Donyell Jones | Community Based Residential Treatment Facility, Mental Illness | 6239 Edgewater Dr Ste V2, Orlando, FL 32810-4764 | 2018-01-18 |
| 1437672748 | Reasons for Change, LLC | Community Based Residential Treatment Facility, Mental Illness | 143 Silver Beach Road, Lake Park, FL 33403 | 2017-07-18 |
| 1316477029 | Cerrato Associates Incorporation | Community Based Residential Treatment Facility, Mental Illness | 755 Shady Oaks Dr Apt 310, Palm Coast, FL 32164-2578 | 2017-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1780119917 | Open Arm Housing and Care | Community Based Residential Treatment Facility, Mental Illness | 4031 Nw 91st Ters, Sunrise, FL 33351 | 2017-04-25 |
| 1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BAYSHORE TBI, 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.