DEVEREUX FOUNDATION (NPI# 1609946524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609946524 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FOUNDATION |
| Practice Address |
5749 Westgate Dr Suite 102 Orlando FL 32835-5040 |
| Mailing Address |
5850 T.g. Lee Boulevard Suite 400 Orlando FL 32822 |
| Practice Telephone | 3212813840 |
| Mailing Telephone | 4073629213 |
| Mailing Fax Number | 4078585506 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2013-09-09 |
| Authorized Official Name | STEVEN J MURPHY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4073629210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029573621 | 05 | |
| FL | 029573602 | 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 |
5749 WESTGATE DR SUITE 102 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-5040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292264 | Jennifer Falco | Social Worker | 5749 Westgate Dr, Orlando, FL 32835-5040 | 2019-12-12 |
| 1477199123 | Jozzette Yvonne Cruz | Counselor | 5749 Westgate Dr, Orlando, FL 32835-5040 | 2019-11-18 |
| 1245873249 | Denise Graham Record | Social Worker | 5749 Westgate Dr, Orlando, FL 32835-5040 | 2019-10-22 |
| 1053962290 | Parker Scott Johnson | Counselor | 5749 Westgate Dr, Orlando, FL 32835-5040 | 2019-09-27 |
| 1679122469 | Kaitlyn Campbell | Counselor | 5749 Westgate Dr, Orlando, FL 32835-5040 | 2019-09-05 |
| 1417503434 | Shekinah Nelson | Social Worker | 5749 Westgate Dr, Orlando, FL 32835-5040 | 2019-08-15 |
| 1336612696 | Delaney Kirwin | Counselor | 5749 Westgate Dr, Orlando, FL 32835-5040 | 2019-01-09 |
| 1790255016 | Olivia O Diebate | Counselor | 5749 Westgate Dr, Orlando, FL 32835-5040 | 2018-11-29 |
| 1952879116 | Kristin Lynn Hummel | Counselor | 5749 Westgate Dr, Orlando, FL 32835-5040 | 2018-11-06 |
| 1881191104 | Diana M Cardona | Marriage & Family Therapist | 5749 Westgate Dr, Orlando, FL 32835-5040 | 2018-04-12 |
| 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 |
|---|---|---|---|---|
| 1770181638 | Wise Future Group Support Services, LLC | Clinic/Center | 2307 Greenwillow Dr, Orlando, FL 32825-7572 | 2020-10-13 |
| 1326301706 | Devereux | Clinic/Center | 5850 T G Lee Blvd, Suite 400, Orlando, FL 32822-4407 | 2012-06-20 |
| 1194051946 | Alliance Healthcare Clinic Corp | Clinic/Center | 4311 Anderson Rd, Orlando, FL 32812-7358 | 2009-10-29 |
| 1033653779 | Akeso Behavioral Health Services | Clinic/Center | 6100 Lake Ellenor Dr, #212, Orlando, FL 32809-4614 | 2016-12-15 |
| 1528446887 | The Devereux Foundation | Clinic/Center | 5850 T G Lee Blvd, Orlando, FL 32822-4407 | 2015-05-07 |
| 1962835686 | Devereux | Clinic/Center | 1010 Executive Center Dr, Orlando, FL 32803-3529 | 2013-08-16 |
| 1154660165 | Devereux Florida | Clinic/Center | 1010 Executive Center Dr Ste 100, Orlando, FL 32803-3521 | 2013-02-11 |
| 1366704074 | Devereux Florida | Clinic/Center | 1010 Executive Center Dr, 100, Orlando, FL 32803-3529 | 2012-06-10 |
| 1790047413 | Michael Charles Cepero | Clinic/Center | 1010 Executive Center Dr, Suite 100, Orlando, FL 32803-3529 | 2012-06-08 |
| 1578740635 | The Devereux Foundation | Clinic/Center | 6147 Christian Way, Orlando, FL 32808-1435 | 2008-01-30 |
| Find all providers in ORLANDO | ||||
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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.