JOANN BRIDGES ACADEMY (NPI# 1811021488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811021488 |
Entity Type | Organization |
Organization Name | JOANN BRIDGES ACADEMY |
Practice Address |
950 Sw Greenville Hills Rd Greenville FL 32331-3108 |
Practice Telephone | 8509484220 |
Practice Fax Number | 8509484227 |
Mailing Telephone | 8509484220 |
Mailing Fax Number | 8509484227 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2008-06-20 |
Authorized Official Name | MS. TUWOLLAR MESHET MOBLEY (FACILITY ADMINISTRATOR) |
Authorized Official Telephone | 8509484220 |
Is Organization Subpart | Y |
Parent Organization Name | JFS DEVELOPMENT, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | FL | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 075419600 | 05 |
Street Address |
950 SW GREENVILLE HILLS RD |
City | GREENVILLE |
State | FL |
Zip Code | 32331-3108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588731772 | Cindy Jean Meeks | Psychologist | 950 Sw Greenville Hills Rd, Greenville, FL 32331-3108 | 2006-11-30 |
1528317773 | Melissa Bolen | Marriage & Family Therapist | 950 Sw Greenville Hills Rd, Greenville, FL 32331-3108 | 2012-09-04 |
1992001697 | Mary Ellen Keyt | Counselor | 950 Sw Greenville Hills Rd, Greenville, FL 32331-3108 | 2011-01-28 |
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 | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285157693 | Schylon Smith | Community Based Residential Treatment Facility, Mental Illness | 535 Holt Collier St, Greenville, MS 38701-3846 | 2017-07-18 |
1386806008 | Emmanuel Residential Facility Inc | Community Based Residential Treatment Facility, Mental Illness | 3300 Pinetree Lane, Greenville, NC 27858-1002 | 2008-06-25 |
1912084161 | Carolina Support Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 925d Conference Dr, Greenville, NC 27858-5971 | 2006-11-01 |
1710063375 | Excalibur Youth Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 5321 Old Buncombe Rd, Greenville, SC 29609-0910 | 2006-10-27 |
1548794480 | Honey Lake Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1290 Nw Honey Lake Rd, Greenville, FL 32331-4075 | 2017-04-18 |
1508399056 | Honey Lake Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1290 Nw Honey Lake Rd, Greenville, FL 32331-4075 | 2017-04-11 |
1124577424 | Commnity Hope Christian Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 6728 Vining Rd, Greenville, MI 48838-9784 | 2016-09-27 |
1265869622 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 200 W 4th St, Greenville, NC 27858-1816 | 2013-10-01 |
1194992347 | Carolina Support Services Inc | Community Based Residential Treatment Facility, Mental Illness | 925d Conference Dr, Greenville, NC 27858-5971 | 2008-05-15 |
1700083821 | New Start of North Carolina LLC | Community Based Residential Treatment Facility, Mental Illness | 708 W 14th Ave, Greenville, NC 27834-3083 | 2007-07-02 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 32331 |
Please comment or provide details below to improve the information on JOANN BRIDGES ACADEMY.
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.