NPIMap

Organization Active NPI

The Grove Academy Residential Center

  • Children's Substance Abuse Rehabilitation Facility
  • Winter Springs, FL
National Provider Identifier
1114143336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
0759AD953201 Issued in FL
Legal business name
THE GROVE ACADEMY RESIDENTIAL CENTER
Practice address
580 Old Sanford Oviedo Rd
Winter Springs, FL 32708-2637
Phone
(407) 327-1765
Fax
(407) 327-2001
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Marjorie Hotaling, EDD., LMHCNPI 1962574319
Title
Vice President
Phone
(407) 327-1765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 0759AD953201 FL Primary

Addresses

Primary practice location

580 Old Sanford Oviedo Rd
Winter Springs, FL 32708-2637

Mailing address

580 Old Sanford Oviedo Rd
Winter Springs, FL 32708-2637
Phone (407) 327-1765

Other names 1

  • The Grove Counseling Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
The Grove Academy Residential Center2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114143336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 OLD SANFORD OVIEDO RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082637",
            "telephone_number": "407-327-1765",
            "fax_number": "407-327-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 OLD SANFORD OVIEDO RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082637",
            "telephone_number": "407-327-1765",
            "fax_number": "407-327-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROVE ACADEMY RESIDENTIAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOTALING",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-327-1765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD., LMHC"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "FL",
            "license": "0759AD953201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winter Springs, 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.