NPIMap

Organization Active NPI

Devereux Florida

  • Foster Care Agency
  • Winter Haven, FL
National Provider Identifier
1306186077
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
DEVEREUX FLORIDA
Practice address
1850 Olympian Way
Winter Haven, FL 33881
Phone
(863) 595-0167
Fax
(866) 307-9194
NPI assigned
Feb 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Ms. Izella Walls
Title
Therapist
Phone
(863) 221-5345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

1850 Olympian Way
Winter Haven, FL 33881

Mailing address

1850 Olympian Way
Winter Haven, FL 33881-2161
Phone (863) 595-0167

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

1850 Olympian Way
Winter Haven, FL 33881
Phone (863) 205-0331

Practitioners & affiliated clinicians

Practitioners 3

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": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1306186077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 OLYMPIAN WAY",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812161",
            "telephone_number": "863-595-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 OLYMPIAN WAY",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "863-595-0167",
            "fax_number": "866-307-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "IZELLA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "863-221-5345",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.