SALEM VILLAGES MRDD, INC. (NPI# 1578631073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578631073 |
| Entity Type | Organization |
| Organization Name | SALEM VILLAGES MRDD, INC. |
| Practice Address |
27566 Suffridge Dr Bonita Springs FL 34135-4527 |
| Mailing Address |
10140 Linn Station Rd Louisville KY 40223-3813 |
| Practice Telephone | 3523720130 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-11-12 |
| Authorized Official Name | MS. DEENA OMBRES (PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 028054200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760540017 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 140 Claudia Dr, Jacksonville, FL 32218-4004 | 2006-12-05 |
| 1467520635 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 930 Sw Spring Ln, Lake City, FL 32025-5082 | 2006-12-04 |
| 1861560385 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 4748 Tunis St, Jacksonville, FL 32205-7379 | 2006-12-01 |
| 1669540159 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 247 Plaza Oval, Casselberry, FL 32707-2934 | 2006-12-01 |
| 1508934076 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 3841 Se 2nd St, Ocala, FL 34471-3022 | 2006-12-01 |
| 1760550297 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 529 Nw 19th St, Gainesville, FL 32603-1509 | 2006-12-01 |
| 1306914858 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 1329 Bessent Rd, Starke, FL 32091-3607 | 2006-12-01 |
| 1548338023 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 1604 Coletta Dr, Orlando, FL 32807-3514 | 2006-12-01 |
| 1659449130 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 71 Rosewood Ave, Ormond Beach, FL 32174-5522 | 2006-12-01 |
| 1104994672 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 5321 Se 107th Pl, Belleview, FL 34420-3231 | 2006-12-01 |
| Street Address |
27566 SUFFRIDGE DR |
| City | BONITA SPRINGS |
| State | FL |
| Zip Code | 34135-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548696768 | Salem Homes of Florida, Inc. | Intermediate Care Facility, Mentally Retarded | 27566 Suffridge Dr, Bonita Springs, FL 34135-4527 | 2013-09-19 |
| 1568634368 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 27566 Suffridge Dr, Bonita Springs, FL 34135-4527 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022051 | Td Dental Group LLC | Clinic/Center | 28410 Crossing Blvd, Suit 230, Bonita Springs, FL 34135 | 2020-08-04 |
| 1619591096 | Lucinda Zagnoli | Counselor | 3501 Health Center Blvd Suite 2140, Bonita Springs, FL 34135 | 2020-06-02 |
| 1124649512 | Samantha S Wadas | Occupational Therapist | Solaris Rehab, LLC, 9520 Bonita Beach Rd Se, Bonita Springs, FL 34135 | 2020-04-27 |
| 1245710409 | Carrie Silverman | Hearing Instrument Specialist | 8951 Bonita Beach Rd Se Ste 240, Bonita Springs, FL 34135 | 2018-08-17 |
| 1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
| 1801303540 | Lee Tasha Perez | Acupuncturist | 8840 Terrene Ct Ste 101, Bonita Springs, FL 34135 | 2018-01-03 |
| 1164942686 | Mind/mood Counseling & Coaching Centers of Swfl, Pllc | Community/Behavioral Health | 9990 Coconut Road, Attn. Emily - Bes Manager, Bonita Springs, FL 34135 | 2017-06-26 |
| 1699295691 | Alfa Brothers Group | Durable Medical Equipment & Medical Supplies | 28161 Pine Haven Way, Apt 135, Bonita Springs, FL 34135 | 2017-06-21 |
| 1992257919 | Lillian Mary Catherine Lienhardt | Physician Assistant | 27390 Tennesse Street, Bonita Springs, FL 34135 | 2016-10-25 |
| 1104277623 | American Spine & Orthopeadic Institute, LLC | Orthopaedic Surgery | 3501 Health Center Blvd Ste 2430, Bonita Springs, FL 34135 | 2016-06-27 |
| Find all providers in zip 34135 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548696768 | Salem Homes of Florida, Inc. | Intermediate Care Facility, Mentally Retarded | 27566 Suffridge Dr, Bonita Springs, FL 34135-4527 | 2013-09-19 |
| 1568634368 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 27566 Suffridge Dr, Bonita Springs, FL 34135-4527 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009019 | Florida Mentor II LLC | Intermediate Care Facility, Mentally Retarded | 1045 Mar Walt Dr, Fort Walton Beach, FL 32547-6738 | 2020-10-01 |
| 1952919557 | The Vinglo House LLC | Intermediate Care Facility, Mentally Retarded | 1862 Finn Hill Dr, Boynton Beach, FL 33426-9329 | 2020-07-20 |
| 1487290730 | Noal Group Home, Inc | Intermediate Care Facility, Mentally Retarded | 13379 Key Lime Blvd, West Palm Beach, FL 33412-2150 | 2019-11-21 |
| 1770055980 | National Mentor Healthcare LLC | Intermediate Care Facility, Mentally Retarded | 1275 N Rainbow Loop, Lecanto, FL 34461-8893 | 2018-12-28 |
| 1871993899 | Diomar Anover | Intermediate Care Facility, Mentally Retarded | 17812 Wendy Sue Ave, Hudson, FL 34667-5917 | 2014-08-27 |
| 1972856011 | The Mentor Network | Intermediate Care Facility, Mentally Retarded | 1725 Fifth St, Daytona Beach, FL 32117-5107 | 2012-10-25 |
| 1366798290 | Barc Housing Inc. | Intermediate Care Facility, Mentally Retarded | 2750 Sw 75th Ave, Davie, FL 33314-1008 | 2012-07-30 |
| 1255658365 | 98 | Intermediate Care Facility, Mentally Retarded | 11314 Mahopac Rd, Weeki Wachee, FL 34614-3562 | 2010-04-28 |
| 1245404250 | Marcia A. Howell | Intermediate Care Facility, Mentally Retarded | 17305 Blooming Fields Dr, Land O Lakes, FL 34638-7222 | 2008-04-22 |
| 1497928774 | New Vue LLC Dba Key Pine Village | Intermediate Care Facility, Mentally Retarded | 6457 W Norvell Bryant Hwy, Crystal River, FL 34429-9413 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
| City | BONITA SPRINGS |
| Zip Code | 34135 |
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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.