THE HENRY & RILLA WHITE YOUTH FOUNDATION INC (NPI# 1952303737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952303737 |
Entity Type | Organization |
Organization Name | THE HENRY & RILLA WHITE YOUTH FOUNDATION INC |
Other Organization Name | HENRY & RILLA WHITE FOUNDATION INC |
Practice Address |
305 Nw Christian Ct Lake City FL 32055-4837 |
Mailing Address |
2833 Remington Green Cir Tallahassee FL 32308-3752 |
Practice Telephone | 3527527813 |
Practice Fax Number | 3527527836 |
Mailing Telephone | 8509228375 |
Mailing Fax Number | 8504882071 |
Enumeration Date | 2005-08-11 |
Last Update Date | 2020-03-12 |
Authorized Official Name | MRS. LINDA DURRANCE (CEO) |
Authorized Official Telephone | 8509228375 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | Agencies | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 055048515 | 05 | |
FL | 055048521 | 05 | |
FL | 055048522 | 05 | |
FL | 055048505 | 05 | |
FL | 055048514 | 05 | |
FL | 055048516 | 05 | |
FL | 055048500 | 05 | |
FL | 055048504 | 05 | |
FL | 055048501 | 05 | |
FL | 076660700 | 05 | |
FL | 055048508 | 05 | |
FL | 055048507 | 05 | |
FL | 055048511 | 05 | |
FL | 055048517 | 05 | |
FL | 055048502 | 05 | |
FL | 055048506 | 05 | |
FL | 055048518 | 05 |
Other Name | Type Code |
---|---|
Henry & Rilla White Foundation Inc | Other Name - Individual/Organization |
Address | Telephone Number | Fax Number |
---|---|---|
2153 Se Hawthorne Rd, Gainesville, FL 326417560 | 3526720940 | 8509218627 |
Street Address |
305 NW CHRISTIAN CT |
City | LAKE CITY |
State | FL |
Zip Code | 32055-4837 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154786077 | Nafashia Hyche | Case Management | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-12-18 |
1285007039 | Nafashia Hyche | Case Manager/Care Coordinator | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-11-02 |
1972973618 | Lara Robertson | Social Worker | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-10-06 |
1336531102 | Tameika Rice | Case Manager/Care Coordinator | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-03-03 |
1740672518 | Henry and Rilla White Youth Foundation Inc. | Community/Behavioral Health | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-03-03 |
1407172273 | Daniel Dennis Parnell | Counselor | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2010-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
Find all providers in zip 32055 |
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 |
---|---|---|---|---|
1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
1326423443 | Mindful Behavioral Inc | Community/Behavioral Health | 323 Mercy St, Lake City, SC 29560-2331 | 2015-07-30 |
1275700601 | Meridian Behavioral Healthcare | Community/Behavioral Health | 173 Se Baya Dr, Lake City, FL 32025-5982 | 2008-05-14 |
1457703332 | Jameel Pearson | Community/Behavioral Health | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2016-07-05 |
1740672518 | Henry and Rilla White Youth Foundation Inc. | Community/Behavioral Health | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-03-03 |
1629245964 | Meridian Behaviral Healthcare | Community/Behavioral Health | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2008-05-15 |
1174641666 | Pee Dee Mental Health Center | Community/Behavioral Health | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2007-03-26 |
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1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
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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.