Positive Support Service

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

POSITIVE SUPPORT SERVICE

Practice address

1046 Summer Glen Dr
Winter Haven, FL 33880-1933

Phone

(863) 845-6323

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Embrige Bembry III

Title

Medicaid Waiver Provider

Phone

(863) 845-6323

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1013443712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 SUMMER GLEN DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801933",
            "telephone_number": "863-845-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 SUMMER GLEN DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801933",
            "telephone_number": "863-845-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE SUPPORT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "BEMBRY",
        "authorized_official_first_name": "EMBRIGE",
        "authorized_official_title_or_position": "MEDICAID WAIVER PROVIDER",
        "authorized_official_telephone_number": "863-845-6323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Maritza Pollarolo
• Carlos Antonio Polo Montes, DDS, MS
• April D Poole
• Haldane W Porteous, M.D
• Maria Socorro S Porterfield, M.D.
• Positive Vibez Healthcare Services LLC
• Positively U, Inc
• Amy-Grace Pothen
• Jessy Alothu Pothen
• Venkat Sumanth Potluri, DO

• Developmental Disabilities Clinic/Center in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.