Active NPI
Alas Family Support Center Inc
- Case Management Agency
- Indiantown, FL
National Provider Identifier
1265909287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 717325 | Medicaid | FL |
Other names 1
- ALAS FAMILY SUPPORT CENTER INC
National Provider Directory
National Provider DirectoryLocations
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.