SPECIALTY CARE SERVICES, INC. (NPI# 1760838957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760838957 |
| Entity Type | Organization |
| Organization Name | SPECIALTY CARE SERVICES, INC. |
| Practice Address |
2925 Nw 4th Ave Ocala FL 34475-2645 |
| Practice Telephone | 3522584015 |
| Mailing Telephone | 3522584015 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | MR. EDWARD JEROME PORTER (ADMINISTRATOR) |
| Authorized Official Telephone | 3522584015 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | A12804 | FL | Nursing & Custodial Care Facilities |
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
A12804 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AHCA | 1891116778 | 01 | |
| FL | 679698296 | 05 |
| Street Address |
2925 NW 4TH AVE |
| City | OCALA |
| State | FL |
| Zip Code | 34475-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255562070 | Heartfelt Services, Inc. | Local Education Agency (LEA) | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2009-07-28 |
| 1750865879 | Specialty Care Services Inc | Clinic/Center | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2018-09-25 |
| 1952885147 | Specialty Care Services Inc | Clinic/Center | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2018-09-24 |
| 1104368851 | Edward Jerome Porter | Registered Nurse | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2016-11-12 |
| 1891116778 | Specialty Care Services Inc | In Home Supportive Care | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2013-12-19 |
| 1164862967 | Heartfelt Services, Inc. | Assisted Living Facility | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508342122 | Gallo Enterprises | Non-emergency Medical Transport (VAN) | 3951 Nw Blitchton Road, Ocala, FL 34475 | 2018-07-17 |
| 1376059642 | Samantha Denise Gray | Behavior Technician | 3856 W Anthony Rd, Ocala, FL 34475 | 2017-12-21 |
| 1487160008 | Leslie Grace Hemp | Behavior Technician | 3856 West Anthony Rd, Ocala, FL 34475 | 2017-12-19 |
| 1154855005 | Homehealth | Home Health | 1717 Nw Pine Avenue, Ocala, FL 34475 | 2017-04-18 |
| 1356883672 | Fifth Circuit Pulic Guardian Corp. | Case Management | 110 Nw 1st St, Courthouse, Ocala, FL 34475 | 2016-11-17 |
| 1003295940 | Open Arms | Home Health Aide | 6775 Nw 6th Ave, Ocala, FL 34475 | 2015-05-26 |
| 1902206121 | Jessica Beylotte | Home Health | 100 Nw 23rd Ave Apt 1101, Ocala, FL 34475 | 2014-08-25 |
| 1306101472 | Shywhann Denise Gray | Licensed Practical Nurse | 2418nw 18th St., Ocala, FL 34475 | 2012-07-05 |
| 1831327162 | Wendy Dawn Sprouse | Counselor | 717 Martin Luther King Jr Avenue, Ocala, FL 34475 | 2009-06-25 |
| 1083835128 | Leslie Therese Shutack | Physical Therapy Assistant | 6658 Nw 4th Ave, Ocala, FL 34475 | 2007-05-02 |
| Find all providers in zip 34475 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568705937 | Personal Touch II Alf Inc | Assisted Living Facility | 524 Bahia Circle Run, Ocala, FL 34472-2680 | 2013-04-03 |
| 1053884940 | Ellie's Alf of Ocala | Assisted Living Facility | 1840 Sw 31st Ave, Ocala, FL 34474-2904 | 2019-01-03 |
| 1265836985 | Shirley Wright Dba Clobran Assisted Living Facility | Assisted Living Facility | 3 Clear Pl, Ocala, FL 34472-2310 | 2014-10-09 |
| 1164862967 | Heartfelt Services, Inc. | Assisted Living Facility | 2925 Nw 4th Ave, Ocala, FL 34475-2645 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1003434028 | Carolyn Clanton Alf LLC | Assisted Living Facility | 1146 Hamilton Ave, Jennings, FL 32053-2253 | 2020-07-07 |
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1134764368 | Aum Haven LLC | Assisted Living Facility | 2763 Carmel Ct, Kissimmee, FL 34746-3268 | 2019-11-12 |
| 1275180515 | 1161 Cambridge LLC | Assisted Living Facility | 1161 W 2nd St, Riviera Beach, FL 33404-7627 | 2019-08-21 |
| 1386291623 | Cambridge 13 LLC | Assisted Living Facility | 1560 W 13th St, Riviera Beach, FL 33404-6521 | 2019-08-21 |
| 1851948418 | 3411 Ave Cambridge LLC | Assisted Living Facility | 3411 Avenue H E, Riviera Beach, FL 33404-2101 | 2019-08-19 |
| 1326694308 | W 2nd Cambridge LLC | Assisted Living Facility | 570 W 2nd St, Riviera Beach, FL 33404-7616 | 2019-08-14 |
| 1154976512 | Quality Health Care of Florida.llc | Assisted Living Facility | 1250 Nw 122nd Ave, Plantation, FL 33323-2420 | 2019-08-02 |
| 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.