Organization Active NPI

Alas Family Support Center Inc

  • Case Management Agency
  • Indiantown, FL
National Provider Identifier
1265909287
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ALAS FAMILY SUPPORT CENTER INC
Doing business as
Alas Family Support Center Inc
Practice address
16652 SW Warfield Blvd
Indiantown, FL 34956-4407
Phone
(772) 248-2291
Fax
(772) 248-2298
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Blanca M De Reyes, MS
Title
Ceo
Phone
(772) 248-2291

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

16652 SW Warfield Blvd
Indiantown, FL 34956-4407

Mailing address

16652 SW Warfield Blvd
Indiantown, FL 34956-4407
Phone (772) 248-2291

Other identifiers 1

IdentifierTypeStateIssuer
717325MedicaidFL

Other names 1

  • ALAS FAMILY SUPPORT CENTER INC Doing business as

National Provider Directory

National Provider Directory

Locations

16652 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 248-2291

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1265909287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16652 SW WARFIELD BLVD",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349564407",
            "telephone_number": "772-248-2291",
            "fax_number": "772-248-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16652 SW WARFIELD BLVD",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349564407",
            "telephone_number": "772-248-2291",
            "fax_number": "772-248-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAS FAMILY SUPPORT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "DE REYES",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-248-2291",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717325",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALAS FAMILY SUPPORT CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indiantown, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.