Organization Active NPI

C.Y.B. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Eustis, FL
National Provider Identifier
1114229994
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
688505596 Issued in FL
Legal business name
C.Y.B. INC
Practice address
525 E Gottsche Ave
Eustis, FL 32726-3607
Phone
(352) 357-3625
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Ms. Malishas C Mincey
Title
Owner
Phone
(407) 928-1424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 688505596 FL Primary

Addresses

Primary practice location

525 E Gottsche Ave
Eustis, FL 32726-3607

Mailing address

525 E Gottsche Ave
Eustis, FL 32726-3607
Phone (352) 357-3625

Other identifiers 1

IdentifierTypeStateIssuer
688505596OtherFLPROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1114229994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E GOTTSCHE AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263607",
            "telephone_number": "352-357-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E GOTTSCHE AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263607",
            "telephone_number": "352-357-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.Y.B. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MINCEY",
        "authorized_official_first_name": "MALISHAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-928-1424",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "688505596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "688505596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.