Organization Active NPI

Heart of God Crae Center

  • Developmentally Disabled Services Day Training Agency
  • Brandon, FL
National Provider Identifier
1265285845
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HEART OF GOD CRAE CENTER
Doing business as
Heart Of God Crae Center
Practice address
311 E Robertson St
Brandon, FL 33511-5253
Phone
(813) 482-5863
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Mr. Karieem Ali WebbNPI 1700642485
Title
Owner
Phone
(813) 482-5863

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

311 E Robertson St
Brandon, FL 33511-5253

Mailing address

10004 Creek Bluff Dr
Riverview, FL 33578-7559
Phone (813) 482-5863

Other names 1

  • Heart Of God Crae Center Doing business as

National Provider Directory

National Provider Directory

Locations

311 E Robertson St
Brandon, FL 33511
Phone (813) 482-5863

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1265285845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 CREEK BLUFF DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787559",
            "telephone_number": "813-482-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115253",
            "telephone_number": "813-482-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GOD CRAE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "KARIEEM",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-482-5863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Of God Crae Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.