Florida Preferred Care Developmental Centers I, Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

4071095 Issued in FL

Legal business name

FLORIDA PREFERRED CARE DEVELOPMENTAL CENTERS I, INC

Practice address

2975 Garden St
North Fort Myers, FL 33917-1883

Phone

(239) 995-5833

Fax

(239) 995-4856

NPI assigned

Aug 16, 2006

Organization subpart

No

Name

Mrs. Jamie Latture Collier

Title

Director of Reimbursement

Phone

(601) 607-7195

Tax ID family

Florida Preferred Care Developmental Centers I Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Florida Preferred Care Developmental Centers I, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • N Ft Myers, FL
  • NPI 1427030253
  NPD tax ID

Locations

• Sandy Park Developmental Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043323934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 AVIGNON DR",
            "address_2": "SUITE I",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575161",
            "telephone_number": "601-607-7195",
            "fax_number": "601-607-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 GARDEN ST",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339171883",
            "telephone_number": "239-995-5833",
            "fax_number": "239-995-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PREFERRED CARE DEVELOPMENTAL CENTERS I, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LATTURE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "601-607-7195",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "4071095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy Park Developmental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Fitzpatrick, LCSW
• Asia Demor Fletcher
• Savannah Leigh Flint
• Florida Autism Center
• Florida Department of Health
• Florida Yoga Academy, LLC
• Mary Rhea Flory
• Farima Forouhideh, PT, DPT
• William Foster
• Cassidy Suzanne-Pascher Foutch, DC

• All providers in North Fort Myers, FL
• Intellectual Disabilities Intermediate Care Facility in Florida

• 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.