Organization Active NPI

Florida Sheriffs Youth Ranches

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Safety Harbor, FL
National Provider Identifier
1013219716
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
FLORIDA SHERIFFS YOUTH RANCHES
Practice address
3180 Enterprise Rd E
Safety Harbor, FL 34695-5205
Phone
(727) 726-4761
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Joanne Thomas
Title
Medicaid Billing Specialist
Phone
(386) 842-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

3180 Enterprise Rd E
Safety Harbor, FL 34695-5205

Mailing address

3180 Enterprise Rd E
Safety Harbor, FL 34695-5205
Phone (727) 726-4761

National Provider Directory

National Provider Directory

Locations

3180 Enterprise Rd E
Safety Harbor, FL 34695
Phone (727) 725-3787

Practitioners & affiliated clinicians

Practitioners 4

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": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1013219716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 ENTERPRISE RD E",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955205",
            "telephone_number": "727-726-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 ENTERPRISE RD E",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955205",
            "telephone_number": "727-726-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SHERIFFS YOUTH RANCHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "MEDICAID BILLING SPECIALIST",
        "authorized_official_telephone_number": "386-842-5555"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.