NPIMap

Organization Active NPI

Flordia Sheriffs Youth Ranchs Inc.

  • Psychiatric Residential Treatment Facility
  • Safety Harbor, FL
National Provider Identifier
1255385191
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
FLORDIA SHERIFFS YOUTH RANCHS INC.
Practice address
3180 Enterprise Rd E
Safety Harbor, FL 34695-5205
Phone
(727) 725-4761
Fax
(727) 799-9243
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mrs. Joanne E Thomas
Title
President
Phone
(386) 842-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

3180 Enterprise Rd E
Safety Harbor, FL 34695-5205

Mailing address

PO Box 2000
Live Oak, FL 32064-1550
Phone (386) 842-5501

Other identifiers 1

IdentifierTypeStateIssuer
360009203MedicaidFL

Other names 1

  • Florida Sherrifs Youth Ranch Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Sheriffs Youth Ranches5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1255385191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320641550",
            "telephone_number": "386-842-5501",
            "fax_number": "386-842-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 ENTERPRISE RD E",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955205",
            "telephone_number": "727-725-4761",
            "fax_number": "727-799-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORDIA SHERIFFS YOUTH RANCHS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-842-5501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360009203",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Sherrifs Youth Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.