DISC VILLAGE, INC. (NPI# 1609104652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609104652 |
| Entity Type | Organization |
| Organization Name | DISC VILLAGE, INC. |
| Practice Address |
10914 Recovery Way Tallahassee FL 32305-1847 |
| Mailing Address |
3333 W Pensacola St Suite 330 Tallahassee FL 32304-2888 |
| Practice Telephone | 8504211336 |
| Mailing Telephone | 8505754388 |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |
| Authorized Official Name | MR. THOMAS K OLK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8504886700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 02B090401C | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
| 1225520687 | Disc Village, Inc. | Community/Behavioral Health | 1000 W Tharpe St Ste 17, Tallahassee, FL 32303-5311 | 2018-06-01 |
| 1255672192 | Disc Village, Inc. | Community/Behavioral Health | 305b W Crawford St, Quincy, FL 32351-3121 | 2013-03-01 |
| 1417297763 | Disc Village, Inc. | Community/Behavioral Health | 603 S M L King Jr Blvd, Tallahassee, FL 32301 | 2013-02-25 |
| 1912077017 | Disc Village, Inc. | Community/Behavioral Health | 69 High Dr, Crawfordville, FL 32327-2032 | 2006-11-08 |
| 1780754853 | Disc Village, Inc. | Community/Behavioral Health | 1476 Sw Main St, Greenville, FL 32331-3149 | 2006-11-08 |
| 1376613463 | Disc Village, Inc. | Community/Behavioral Health | 411 Us Highway 98, Apalachicola, FL 32320-1238 | 2006-11-08 |
| 1497825350 | Disc Village, Inc. | Community/Behavioral Health | 2967 Natural Bridge Road, Woodville, FL 32362-0568 | 2006-11-08 |
| 1487619391 | Disc Village, Inc. | Substance Abuse Rehabilitation Facility | 3333 W Pensacola St, Tallahassee, FL 32304-2888 | 2006-04-20 |
| 1902369895 | Disc Village, Inc. | Community/Behavioral Health | 10914 Recovery Way, Tallahassee, FL 32305-1847 | 2019-04-09 |
| Street Address |
10914 RECOVERY WAY |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32305-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902369895 | Disc Village, Inc. | Community/Behavioral Health | 10914 Recovery Way, Tallahassee, FL 32305-1847 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
| 1104393610 | Talina N White Williams | Nurse Practitioner | 1334 Tuscaloosa Trace, Tallahassee, FL 32305 | 2018-11-01 |
| 1679054134 | Adriane Mcford Green | Custodial Care Facility | 218 Daffodil Circle, Tallahassee, FL 32305 | 2018-08-23 |
| 1497285209 | Anita Johnson Jackson | Case Manager/Care Coordinator | 3204 N Ridge Rd, Tallahassee, FL 32305 | 2017-06-14 |
| 1972840593 | Thomas Anderson Bevis | Pharmacist | 5032 Cap Cir Sw, Tallahassee, FL 32305 | 2013-01-16 |
| 1487884755 | Aracely Garcia | Dentist | Ejercito Nacinal 6325, Cd. Juarez, CHIHUAHUA 32305 | 2009-07-21 |
| 1851854954 | Disc Village, Inc. | Community/Behavioral Health | 10942 Recovery Way, Tallahassee, FL 32305 | 2019-04-08 |
| 1386703676 | The Devereux Foundation | Clinic/Center | 2967 Natural Bridge Rd, Tallahassee, FL 32305 | 2006-12-06 |
| 1558890251 | Peronica Rena Lindsey | Clinic/Center | 3983 Wilford Rd, Tallahassee, FL 32305-0500 | 2017-06-06 |
| 1699976092 | Latunya Hollis Howard | Nurse's Aide | 4768 Woodville Hwy, Apt 1733, Tallahassee, FL 32305-0908 | 2007-05-31 |
| Find all providers in zip 32305 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356805048 | Terence W Davis | Foster Care Agency | 3214 Riddle Dr, Tallahassee, FL 32309-3626 | 2019-01-26 |
| 1114470077 | Shakisha Johnson | Foster Care Agency | 1882 Capital Cir Ne, Ste 105, Tallahassee, FL 32308-4530 | 2016-07-27 |
| 1841425501 | Inspire Group, Inc. | Foster Care Agency | 2025 S Monroe St Ste A, Tallahassee, FL 32301-5531 | 2009-05-26 |
| 1801061619 | Beverly Jane Jones | Foster Care Agency | 3840 Ll Wallace Rd, Tallahassee, FL 32305-8858 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609734 | Ensor Health Services | Foster Care Agency | 12140 Murray Ave, Largo, FL 33778-2421 | 2020-11-06 |
| 1821600941 | Manny Anthony & Co. LLC | Foster Care Agency | 4514 Wishart Blvd, Tampa, FL 33603-2827 | 2020-08-19 |
| 1245849819 | Seven Bridges Support Services LLC | Foster Care Agency | 1652 Fairway Ridge Dr, Fleming Island, FL 32003-8253 | 2020-07-29 |
| 1750901997 | Kenithia Z Brewington | Foster Care Agency | 121 Millet Cir, Cantonment, FL 32533-7888 | 2020-04-17 |
| 1568097038 | A Kid's Place of Tampa Bay Inc. | Foster Care Agency | 1715 Lithia Pinecrest Rd, Brandon, FL 33511-6723 | 2020-03-05 |
| 1215560305 | Florida United Methodist Childrens Home, Inc. | Foster Care Agency | 591 Jacob Brock Ave, Enterprise, FL 32725-8129 | 2020-02-17 |
| 1609409101 | Florida United Methodist Childrens Home, Inc. | Foster Care Agency | 202 W Reynolds St, Plant City, FL 33563-3200 | 2020-02-13 |
| 1851938096 | Karl Fleming | Foster Care Agency | 6020 Wallace Rd, Panama City, FL 32404-8724 | 2019-12-06 |
| 1962051441 | Christie Homes, Inc | Foster Care Agency | 2450 E Hillsborough Ave Apt 1324, Tampa, FL 33610-4443 | 2019-09-08 |
| 1598221533 | Kacy Thompson | Foster Care Agency | 9639 Bembridge Mill Dr, Jacksonville, FL 32244-2495 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32305 |
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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.