SMA HEALTHCARE INC (NPI# 1669450466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669450466 |
| Entity Type | Organization |
| Organization Name | SMA HEALTHCARE INC |
| Other Organization Name | ACT CORPORATION |
| Practice Address |
1150 Red John Dr Daytona Beach FL 32124-1016 |
| Mailing Address |
150 Magnolia Ave Daytona Beach FL 32114-4304 |
| Practice Telephone | 3862363225 |
| Practice Fax Number | 3862363175 |
| Mailing Telephone | 3862363225 |
| Mailing Fax Number | 3862363178 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | MR. IVAN A COSIMI (CEO/PRESIDENT) |
| Authorized Official Telephone | 3862361811 |
| Is Organization Subpart | Y |
| Parent Organization Name | SMA HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Act Corporation | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950168 | Sma Healthcare Inc | Clinic/Center | 420 Stadium Road, Daytona Beach, FL 32114-2810 | 2020-04-10 |
| 1316132772 | Sma Healthcare Inc | Day Training, Developmentally Disabled Services | 225 Fentress Blvd Ste A, Daytona Beach, FL 32114-1203 | 2007-09-10 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1114905940 | Sma Healthcare Inc | Substance Abuse Rehabilitation Facility | 1341 Indian Lake Rd, Daytona Beach, FL 32124-1039 | 2006-01-03 |
| 1487955977 | Sma Healthcare Inc | Substance Abuse Rehabilitation Facility | 301 Justice Ln, Bunnell, FL 32110-4487 | 2010-11-15 |
| 1154526556 | Sma Healthcare Inc | Community/Behavioral Health | 1220 Willis Ave, (internal Box 69), Daytona Beach, FL 32114-2810 | 2007-06-18 |
| 1336127133 | Sma Healthcare Inc | Case Management | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2006-01-03 |
| 1376521187 | Sma Healthcare Inc | Community Based Residential Treatment Facility, Mental Illness | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1356329163 | Sma Healthcare Inc | Clinic/Center | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2006-01-03 |
| Street Address |
1150 RED JOHN DR |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32124-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| 1104464882 | Dane Huge | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2019-12-13 |
| 1114049715 | Linda Jean Crandall | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-04-04 |
| 1508983826 | Kathleen Rogan | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-23 |
| 1487770137 | Amy V Ballou | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-22 |
| 1457476863 | Scott Henry March | Social Worker | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-21 |
| 1750407110 | Liza M Sampson | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-21 |
| 1912032483 | Colleen Ritchie | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-02-23 |
| 1497734735 | Leo Salter | Psychologist | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-14 |
| 1376521187 | Sma Healthcare Inc | Community Based Residential Treatment Facility, Mental Illness | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302599 | Christine Lapila | Behavioral Analyst | 201 Thornberg Branch Lane, Daytona Beach, FL 32124 | 2016-08-29 |
| 1194708495 | Brent N. Fulton | Family Medicine | 3127 W International Speedway Blvd., Daytona Beach, FL 32124 | 2005-11-21 |
| 1891212130 | Brian Moore | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124 | 2017-08-28 |
| 1588834725 | Glendoria Stephens | Counselor | 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 | 2008-03-04 |
| 1003146887 | Sequel Tsi of Florida, LLC Daytona Transitional | Residential Treatment Facility, Emotionally Disturbed Children | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2009-12-30 |
| 1376874370 | Sequel Tsi of Florida, LLC Daytona Residential Treatment Center | Psychiatric Residential Treatment Facility | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2010-01-15 |
| 1710531454 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2019-07-31 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1467805465 | Ocean Road LLC | Community/Behavioral Health | 3520 W International Speedway Blvd, Daytona Beach, FL 32124-1026 | 2016-07-14 |
| Find all providers in zip 32124 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144711334 | Pediatric Aba 9 Inc | Community/Behavioral Health | 200 S Beach St Ste 204, Daytona Beach, FL 32114-4404 | 2018-05-23 |
| 1467805465 | Ocean Road LLC | Community/Behavioral Health | 3520 W International Speedway Blvd, Daytona Beach, FL 32124-1026 | 2016-07-14 |
| 1750771622 | Embridge Counseling Services | Community/Behavioral Health | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2015-01-30 |
| 1245620327 | Majestic Behavioral Services | Community/Behavioral Health | 1057 Mason Ave, Daytona Beach, FL 32117-4611 | 2015-01-28 |
| 1942536941 | Therapeutic Foundations | Community/Behavioral Health | 1181 Dal Maso Dr, Daytona Beach, FL 32117-4109 | 2009-10-26 |
| 1861638827 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Community/Behavioral Health | 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | 2008-12-22 |
| 1780754747 | Coaching Behavioral Alternatives Inc | Community/Behavioral Health | 615 Riverview Blvd, Daytona Beach, FL 32118-3840 | 2006-11-08 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1164030532 | Easterseals Northeast Central Florida, Inc. | Community/Behavioral Health | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-21 |
| 1649662198 | Halifax Behavioral Services | Community/Behavioral Health | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2015-02-20 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32124 |
Please comment or provide details below to improve the information on SMA HEALTHCARE 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.