Active NPI
I Am Here for Vets Corporation
- Peer Specialist
- Daytona Beach, FL
National Provider Identifier
1144977125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Legal business name
- I AM HERE FOR VETS CORPORATION
- Practice address
- 440 S Segrave St
Daytona Beach, FL 32114-4818 - Phone
- (386) 310-9474
- NPI assigned
- Mar 9, 2022
- Organization subpart
- Yes
- Parent organization
- I AM HERE FOR VETS CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald Stiff, CRPS, ADDICTION SPEC
- Title
- President
- Phone
- (386) 383-2129
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Emergency Response System Companies | 333300000X |
Addresses
Primary practice location
440 S Segrave St
Daytona Beach, FL 32114-4818
Mailing address
440 S Segrave St
Daytona Beach, FL 32114-4818
Phone (386) 310-9474
Other names 1
- Recovering Futures
National Provider Directory
National Provider Directory- Part of
- I Am Here for Vets Corporation
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prevention Professional
- Daytona Beach, FL
- NPI 1700500865
Peer Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646784000000",
"number": "1144977125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 S SEGRAVE ST",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144818",
"telephone_number": "386-310-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 S SEGRAVE ST",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144818",
"telephone_number": "386-310-9474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I AM HERE FOR VETS CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "I AM HERE FOR VETS CORPORATION",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A",
"authorized_official_last_name": "STIFF",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-383-2129",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRPS, ADDICTION SPEC"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Recovering Futures",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.