NPIMap

Organization Active NPI

The Guest House Ocala

  • Substance Abuse Rehabilitation Facility
  • Silver Springs, FL
National Provider Identifier
1063957223
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
42813345073401 Issued in FL
Legal business name
THE GUEST HOUSE OCALA
Practice address
3230 NE 55TH Ave
Silver Springs, FL 34488-1721
Phone
(855) 483-7800
NPI assigned
Dec 27, 2016
Last updated
May 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Richard Fungaroli
Title
Coo
Phone
(855) 483-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 42813345073401 FL Primary

Addresses

Primary practice location

3230 NE 55TH Ave
Silver Springs, FL 34488-1721

Mailing address

PO Box 190
Silver Springs, FL 34489-0190
Phone (855) 483-7800

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2125372Guest House Ocala, the3230 NE 55TH Avenue, Silver Springs, FL 34488Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
The Guest House Ocala2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1063957223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344890190",
            "telephone_number": "855-483-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 NE 55TH AVE",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344881721",
            "telephone_number": "855-483-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GUEST HOUSE OCALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "FUNGAROLI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "855-483-7800"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "42813345073401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.