COMMUNITY OUTREACH SERVICES (NPI# 1689878639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689878639 |
| Entity Type | Organization |
| Organization Name | COMMUNITY OUTREACH SERVICES |
| Practice Address |
245 S Amelia Ave Deland FL 32724-5913 |
| Practice Telephone | 3867360420 |
| Practice Fax Number | 3867384838 |
| Mailing Telephone | 3867360420 |
| Mailing Fax Number | 3867384838 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | MR. CARL EPLEY (INTEMIN EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3867360420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1264AD8975-00 | FL | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY OUTREACH SERVICES | 905 Chester Ave, Bakersfield, CA 93301-5425 |
| System for Award Management (SAM) Entities | COMMUNITY OUTREACH SERVICES SC | 3230 Hoffmeyer Rd Unit 7104, Florence, SC 29501-7210 |
| New York State Corporations | COMMUNITY OUTREACH SERVICES, INC. | 3951 Seton Avenue, Bronx, New York 10466 |
| Street Address |
245 S AMELIA AVE |
| City | DELAND |
| State | FL |
| Zip Code | 32724-5913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114133816 | Deborah Lynn Rowland | Counselor | 245 S Amelia Ave, Deland, FL 32724-5913 | 2007-05-16 |
| 1134528029 | Robert Borgren | Counselor | 245 S Amelia Ave, Deland, FL 32724-5913 | 2014-08-18 |
| 1477966869 | Leighann Straughen | Counselor | 245 S Amelia Ave, Deland, FL 32724-5913 | 2014-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1811473275 | April Gustafson | Nurse Practitioner | 557 Adenmore Ter, Deland, FL 32724 | 2018-07-18 |
| 1245720820 | Total Renal Laboratories Inc | Clinical Medical Laboratory | 3000 Davita Way, Deland, FL 32724 | 2018-05-18 |
| 1790294742 | Deland Manor Assisted Living Corp | Assisted Living Facility | 245 S. Amelia Ave, Deland, FL 32724 | 2017-09-21 |
| 1639617954 | Starting Point Mental Health, LLC | Counselor | 620 East New York Ave Ste B, Deland, FL 32724 | 2017-02-07 |
| 1255877221 | Emily Eunice | Specialist/Technologist | 2589 W Lake Dr., Deland, FL 32724 | 2017-01-13 |
| 1073960357 | Robert Solomon Jr. | Family Medicine | 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 | 2016-05-17 |
| 1730535568 | Harold Alexander | Hearing Instrument Specialist | 124 S. Amelia Ave, Unit #b, Deland, FL 32724 | 2016-05-11 |
| 1720406747 | Angel Care Homes LLC | Assisted Living Facility | 1349 E. Wisconsin Avenue, Deland, FL 32724 | 2014-04-07 |
| 1508298860 | Lindenlea Assisted Living Inc. | Assisted Living Facility | 1180 Jackson Ranch Rd, Deland, FL 32724 | 2013-08-08 |
| Find all providers in zip 32724 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023071198 | Windward Behavioral Care, Inc. | Substance Abuse Rehabilitation Facility | 245 S. Amelia Avenue, Bldg. A, Deland, FL 32724-5913 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY OUTREACH SERVICES.
| 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.