The Circle of Veterans and Families, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

PY 5540 Issued in FL

Legal business name

THE CIRCLE OF VETERANS AND FAMILIES, INC.

Practice address

19717 Bower Rd
Dade City, FL 33523-6867

Phone

(773) 859-9006

Fax

(727) 499-7526

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Tice RidleyNPI 1285258368

Title

Ceo

Phone

(773) 859-9006

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tice Ridley

  • Adult Care Home Facility
  • Dade City, FL
  • NPI 1285258368
  NPD (past) Authorized official

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1174902902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19717 BOWER RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335236867",
            "telephone_number": "773-859-9006",
            "fax_number": "727-499-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19717 BOWER RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335236867",
            "telephone_number": "773-859-9006",
            "fax_number": "727-499-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CIRCLE OF VETERANS AND FAMILIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "TICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-859-9006"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "PY 5540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Dade City, FL
• Providers in Dade City, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.