NPIMap

Organization Active NPI

Florida Sheriffs Youth Ranches

  • Psychiatric Residential Treatment Facility
  • Live Oak, FL
National Provider Identifier
1003885146
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
FLORIDA SHERIFFS YOUTH RANCHES
Practice address
2486 Cecil Webb PL
Live Oak, FL 32060-8337
Phone
(386) 842-5501
Fax
(386) 842-2429
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debra K Daniels
Title
Program Billing Specialist
Phone
(386) 842-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

2486 Cecil Webb PL
Live Oak, FL 32060-8337

Mailing address

PO Box 2000
Boys Ranch, FL 32064
Phone (386) 842-5501

National Provider Directory

National Provider Directory
Tax ID family
Florida Sheriffs Youth Ranches5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2486 Cecil Webb Pl
Live Oak, FL 32060
Phone (386) 842-5555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003885146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "BOYS RANCH",
            "state": "FL",
            "postal_code": "32064",
            "telephone_number": "386-842-5501",
            "fax_number": "386-842-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 CECIL WEBB PL",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320608337",
            "telephone_number": "386-842-5501",
            "fax_number": "386-842-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SHERIFFS YOUTH RANCHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROGRAM BILLING SPECIALIST",
        "authorized_official_telephone_number": "386-842-5501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.