DISC VILLAGE, INC. (NPI# 1780754853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780754853 |
| Entity Type | Organization |
| Organization Name | DISC VILLAGE, INC. |
| Practice Address |
1476 Sw Main St Greenville FL 32331-3149 |
| Mailing Address |
3333 W Pensacola St Tallahassee FL 32304-2888 |
| Practice Telephone | 8509481238 |
| Practice Fax Number | 8509481244 |
| Mailing Telephone | 8505754388 |
| Mailing Fax Number | 8505763317 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS K. OLK (CEO) |
| Authorized Official Telephone | 8505754388 |
| Authorized Official Credential | CAPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
| 1225520687 | Disc Village, Inc. | Community/Behavioral Health | 1000 W Tharpe St Ste 17, Tallahassee, FL 32303-5311 | 2018-06-01 |
| 1255672192 | Disc Village, Inc. | Community/Behavioral Health | 305b W Crawford St, Quincy, FL 32351-3121 | 2013-03-01 |
| 1417297763 | Disc Village, Inc. | Community/Behavioral Health | 603 S M L King Jr Blvd, Tallahassee, FL 32301 | 2013-02-25 |
| 1609104652 | Disc Village, Inc. | Foster Care Agency | 10914 Recovery Way, Tallahassee, FL 32305-1847 | 2009-12-03 |
| 1912077017 | Disc Village, Inc. | Community/Behavioral Health | 69 High Dr, Crawfordville, FL 32327-2032 | 2006-11-08 |
| 1376613463 | Disc Village, Inc. | Community/Behavioral Health | 411 Us Highway 98, Apalachicola, FL 32320-1238 | 2006-11-08 |
| 1497825350 | Disc Village, Inc. | Community/Behavioral Health | 2967 Natural Bridge Road, Woodville, FL 32362-0568 | 2006-11-08 |
| 1487619391 | Disc Village, Inc. | Substance Abuse Rehabilitation Facility | 3333 W Pensacola St, Tallahassee, FL 32304-2888 | 2006-04-20 |
| 1902369895 | Disc Village, Inc. | Community/Behavioral Health | 10914 Recovery Way, Tallahassee, FL 32305-1847 | 2019-04-09 |
| Street Address |
1476 SW MAIN ST |
| City | GREENVILLE |
| State | FL |
| Zip Code | 32331-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437673456 | 13455 Golden LLC | Skilled Nursing Facility | 13455 West Highway 90, Greenville, FL 32331 | 2017-08-01 |
| 1972932879 | Crosswinds Rehab | Skilled Nursing Facility | 13455 W Us Hwy 90, Greenville, FL 32331 | 2013-11-01 |
| 1225276736 | 13455 Management LLC | Skilled Nursing Facility | 13455 West Us Highway 90, Greenville, FL 32331 | 2009-01-22 |
| 1528108677 | Jacksons Drugs of Monticello, Inc. | Pharmacy | 1308 Sw Grand St, Greenville, FL 32331 | 2007-02-07 |
| 1639170319 | Greenville Partnership Ltd | Skilled Nursing Facility | Highway 90 East, Greenville, FL 32331 | 2005-08-03 |
| 1609167600 | Greenville Hlth Mgmt LLC | Skilled Nursing Facility | 13455 West Us Highway 90, Greenville, FL 32331 | 2011-04-25 |
| 1689853152 | Twin Oaks | Community/Behavioral Health | 742 Sw Greenville Hills Rd, Greenville, FL 32331-3107 | 2007-10-31 |
| 1245659176 | Joy Elizabeth Bennink | Counselor | 742 Sw Greenville Hills Rd, Greenville, FL 32331-3107 | 2014-04-08 |
| 1790082915 | Elizabeth Pye | Social Worker | 742 Sw Greenville Hills Rd, Greenville, FL 32331-3107 | 2011-02-24 |
| 1477878080 | Elena Danielle Reyes-runyon | Counselor | 742 Sw Greenville Hills Rd, Greenville, FL 32331-3107 | 2010-04-07 |
| Find all providers in zip 32331 | ||||
| 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 |
|---|---|---|---|---|
| 1467051615 | Tranquility Now | Community/Behavioral Health | 123 Sw Odessa Ter, Greenville, FL 32331-3414 | 2020-10-20 |
| 1114549532 | Uniquely Me LLC | Community/Behavioral Health | 2409 Charles Blvd, Greenville, NC 27858-5925 | 2020-05-07 |
| 1043841406 | Gibbs Treatment Solutions | Community/Behavioral Health | 8757 Rufing Rd, Greenville, IN 47124-9649 | 2020-02-03 |
| 1558911677 | Positive Innergy Medical Group | Community/Behavioral Health | 26 Potomac Ave, Greenville, SC 29605-2118 | 2019-09-19 |
| 1831651850 | Nick Comai, LLC | Community/Behavioral Health | 1202 Tamarack Ct, Greenville, MI 48838-2597 | 2019-04-01 |
| 1285111906 | Cornerstone Senior Care and Assisted Living,llc | Community/Behavioral Health | 3900 Joe Ramsey Blvd E Bldg 10a, Greenville, TX 75401-7727 | 2018-07-25 |
| 1295234565 | Krystle Shields | Community/Behavioral Health | 3116 Noah Ct, Greenville, NC 27834-6239 | 2018-02-01 |
| 1639697642 | Stigma Inc. | Community/Behavioral Health | 815 E Butler Rd Apt 228, Greenville, SC 29607-5870 | 2017-08-30 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| 1821514266 | Idella Care Homes | Community/Behavioral Health | 870 Spring Forest Rd, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 32331 |
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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.