SALEM VILLAGES MRDD, INC (NPI# 1750440236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750440236 |
| Entity Type | Organization |
| Organization Name | SALEM VILLAGES MRDD, INC |
| Practice Address |
102 Alexander Rd Starke FL 32091-4521 |
| Mailing Address |
10140 Linn Station Rd Louisville KY 40223-3813 |
| Practice Telephone | 3523720130 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-12-08 |
| 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 | 028060700 | 05 |
| Street Address |
102 ALEXANDER RD |
| City | STARKE |
| State | FL |
| Zip Code | 32091-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073949269 | Salem Homes of Florida, Inc. | Intermediate Care Facility, Mentally Retarded | 102 Alexander Rd, Starke, FL 32091-4521 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
| 1568849313 | Myhealth Medical Association | Clinical Nurse Specialist | 3900 Se 38th Ave, Starke, FL 32091 | 2015-04-30 |
| 1801043641 | Michael Leonard Schlofman | Optometrist | 292 Lafayette St, Starke, FL 32091 | 2008-08-22 |
| 1790945236 | Nf Windsor LLC | Skilled Nursing Facility | 602 E. Laura Street, Starke, FL 32091 | 2008-06-09 |
| 1457564312 | Betsy Regina Ledbetter | Developmental Therapist | 417 W. Call St., Starke, FL 32091 | 2007-05-08 |
| 1841322245 | Melissa Diane Smith | Massage Therapist | 9551 Nw Cr 225, Starke, FL 32091 | 2007-03-12 |
| 1619010220 | Sunil Choudary Paladugu | Pharmacist | 470 W Madison St., Starke, FL 32091 | 2007-02-14 |
| 1043356215 | Shri Sairam Drugs LLC | Pharmacy | 395 W Madison St, Starke, FL 32091 | 2007-01-29 |
| 1962582742 | Virgil A Berry Jr. | Chiropractor | 601 E Call St, Starke, FL 32091 | 2006-10-16 |
| 1497786099 | Thomas Joseph Collins | Physician Assistant | 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 | 2006-07-05 |
| Find all providers in zip 32091 | ||||
| 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 |
|---|---|---|---|---|
| 1306914858 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 1329 Bessent Rd, Starke, FL 32091-3607 | 2006-12-01 |
| 1073949269 | Salem Homes of Florida, Inc. | Intermediate Care Facility, Mentally Retarded | 102 Alexander Rd, Starke, FL 32091-4521 | 2013-09-19 |
| 1548695471 | Salem Homes of Florida, Inc. | Intermediate Care Facility, Mentally Retarded | 1329 Bessent Rd, Starke, FL 32091-3607 | 2013-09-11 |
| 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 | ||||
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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.