Active NPI
Rivermeadows Health Services, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Plant City, FL
National Provider Identifier
1134979701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- RIVERMEADOWS HEALTH SERVICES, LLC
- Practice address
- 606 W Tever St
Plant City, FL 33563-2430 - Phone
- (772) 528-7035
- NPI assigned
- Mar 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin Spence
- Title
- Owner, Manager
- Phone
- (772) 528-7035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
606 W Tever St
Plant City, FL 33563-2430
Mailing address
2904 Starmount Dr
Valrico, FL 33596-5794
Phone (772) 528-7035
Other names 1
- Rivermeadows Group Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712448000000",
"number": "1134979701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 STARMOUNT DR",
"city": "VALRICO",
"state": "FL",
"postal_code": "335965794",
"telephone_number": "772-528-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 W TEVER ST",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335632430",
"telephone_number": "772-528-7035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERMEADOWS HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-25",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A",
"authorized_official_last_name": "SPENCE",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER, MANAGER",
"authorized_official_telephone_number": "772-528-7035",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rivermeadows Group Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.