SALEM VILLAGES MRDD, INC. (NPI# 1760550297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760550297 |
| Entity Type | Organization |
| Organization Name | SALEM VILLAGES MRDD, INC. |
| Practice Address |
529 Nw 19th St Gainesville FL 32603-1509 |
| Mailing Address |
10140 Linn Station Rd Louisville KY 40223-3813 |
| Practice Telephone | 3523720130 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-12-09 |
| 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 | 028064000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760540017 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 140 Claudia Dr, Jacksonville, FL 32218-4004 | 2006-12-05 |
| 1467520635 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 930 Sw Spring Ln, Lake City, FL 32025-5082 | 2006-12-04 |
| 1861560385 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 4748 Tunis St, Jacksonville, FL 32205-7379 | 2006-12-01 |
| 1669540159 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 247 Plaza Oval, Casselberry, FL 32707-2934 | 2006-12-01 |
| 1508934076 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 3841 Se 2nd St, Ocala, FL 34471-3022 | 2006-12-01 |
| 1306914858 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 1329 Bessent Rd, Starke, FL 32091-3607 | 2006-12-01 |
| 1548338023 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 1604 Coletta Dr, Orlando, FL 32807-3514 | 2006-12-01 |
| 1659449130 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 71 Rosewood Ave, Ormond Beach, FL 32174-5522 | 2006-12-01 |
| 1104994672 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 5321 Se 107th Pl, Belleview, FL 34420-3231 | 2006-12-01 |
| 1578631073 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 27566 Suffridge Dr, Bonita Springs, FL 34135-4527 | 2006-12-01 |
| Street Address |
529 NW 19TH ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32603-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811322746 | Salem Homes of Florida, Inc. | Intermediate Care Facility, Mentally Retarded | 529 Nw 19th St, Gainesville, FL 32603-1509 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714332 | Tracee Roberson Williams | Nurse Practitioner | 2004 Mowry Rd, Uf Institue On Aging; Department of Aging and Geriatric, Gainesville, FL 32603 | 2019-08-08 |
| 1891287421 | Nahel Abugattas | Behavior Technician | 811 Nw 20th St, Gainesville, FL 32603-1024 | 2018-05-30 |
| 1285631705 | Kathleen C Findley | Pharmacist | 817 Nw 21st Ter, Gainesville, FL 32603-1030 | 2005-06-30 |
| 1619116902 | Alecia Louise Skipper Mcdonald | Dentist | 1604 Nw 7th Pl, Gainesville, FL 32603-1210 | 2009-02-11 |
| 1548336886 | Mark Arlen Clayman | Plastic Surgery | 2206 Nw 4th Pl, Gainesville, FL 32603-1407 | 2006-11-28 |
| 1275811135 | Andrew Scott Murray | Dentist | 2245 Nw 5th Pl, Gainesville, FL 32603-1408 | 2011-07-26 |
| 1548446305 | Patrick James Patterson | Recreation Therapist | 1912 1/2 Nw 5th Ave, Gainesville, FL 32603-1538 | 2008-01-11 |
| 1255842472 | Kendall Bradley | Student in an Organized Health Care Education/Training Program | 2050 W University Ave, Gainesville, FL 32603-1746 | 2017-10-15 |
| 1568862241 | Casey Carroll | Specialist/Technologist | 2052 W University Ave, Gainesville, FL 32603-1746 | 2014-08-29 |
| 1053559591 | Trey A Rapczak | Specialist | 214 Nw 14th St, Gainesville, FL 32603-1918 | 2009-01-21 |
| Find all providers in zip 32603 | ||||
| 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 |
|---|---|---|---|---|
| 1104994748 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 5915 Nw 39th Ave, Gainesville, FL 32606-5864 | 2006-12-01 |
| 1811322746 | Salem Homes of Florida, Inc. | Intermediate Care Facility, Mentally Retarded | 529 Nw 19th St, Gainesville, FL 32603-1509 | 2013-09-11 |
| 1154447696 | Agency for Persons With Disabilities | Intermediate Care Facility, Mentally Retarded | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2007-03-22 |
| 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 | ||||
| City | GAINESVILLE |
| Zip Code | 32603 |
Please comment or provide details below to improve the information on SALEM VILLAGES MRDD, 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.