NPIMap

Organization Active NPI

La Amistad Residential Treatment Center LLC

Doing business as Central Florida Behavioral Hospital

  • Psychiatric Hospital
  • Orlando, FL
National Provider Identifier
1235252602
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
LA AMISTAD RESIDENTIAL TREATMENT CENTER LLC
Doing business as
Central Florida Behavioral Hospital
Practice address
6601 Central Florida Pkwy
Orlando, FL 32821-8064
Phone
(407) 370-0111
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Steve Filton
Title
Cfo Sr VP
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

6601 Central Florida Pkwy
Orlando, FL 32821-8064

Mailing address

1650 N Park Ave
Maitland, FL 32751-6570
Phone (407) 370-0111

Other names 1

  • Central Florida Behavioral Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080703000278 FL Part A Provider - Hospital 1850463068 Practice locations: Orlando, FL
O20081111000127 FL Part B Supplier - Hospital Department(S) 1850463068 Receives reassigned benefits from 18 practitioners
Practice locations: Orlando, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235252602. Details of each certification follow.

Hospital certification: CCN 104072

Legal name
LA AMISTAD RESIDENTIAL TREATMENT CENTER LLC
Doing business as
CENTRAL FLORIDA BEHAVIORAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 7, 2009
Last certification
Jun 18, 2021
Beds
174
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
May 6, 1988 in FL
Enrollment address
6601 Central Florida Parkway
Orlando, FL 32821-8064
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Central Florida Behavioral HospitalCCN 104072 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
La Amistad Residential Treatment Center LLC2 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.

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Penni Worley Individual Contracted Managing Employee Jun 24, 2024
Corporate OfficerCeo Jun 24, 2024
George H Brunner Individual Corporate OfficerAssistant Secretary May 6, 1988 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Oct 1, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Uhs Sub III LLC Organization, King of Prussia, PA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 20, 2022 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVice President, Board Member May 6, 1988 100%
Corporate DirectorVice President, Board Member May 6, 1988 33.3%
Operational/Managerial ControlVice President, Board Member May 6, 1988 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer May 6, 1988 100%
Operational/Managerial ControlTreasurer May 6, 1988 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 20, 2022 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager May 6, 1988 50%
Carlos Rubio Individual Contracted Managing EmployeeCfo Dec 4, 2023
Corporate OfficerCfo Dec 4, 2023
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Sep 2, 2008 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 18, 2024 87.4%
Corporate Director Sep 2, 2008

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1235252602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N PARK AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516570",
            "telephone_number": "407-370-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 CENTRAL FLORIDA PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328218064",
            "telephone_number": "407-370-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA AMISTAD RESIDENTIAL TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO SR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.