NPIMap

Organization Active NPI

Ocala Behavioral Health LLC

Doing business as The Vines Hospital Physician Group

  • Psychiatric Residential Treatment Facility
  • Ocala, FL
National Provider Identifier
1366816118
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
OCALA BEHAVIORAL HEALTH LLC
Doing business as
The Vines Hospital Physician Group
Practice address
3130 SW 27TH Ave
Ocala, FL 34471-4306
Phone
(352) 671-3130
Fax
(352) 387-0767
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Stephen Quintyne
Title
Ceo
Phone
(352) 671-3130

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

3130 SW 27TH Ave
Ocala, FL 34471-4306

Mailing address

3130 SW 27TH Ave
Ocala, FL 34471-4306
Phone (352) 671-3130

Other names 1

  • The Vines Hospital Physician Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ocala Behavioral Health LLC5 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.

Locations

3130 SW 27th Ave
Ocala, FL 34471
Phone (352) 547-2081

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1366816118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SW 27TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714306",
            "telephone_number": "352-671-3130",
            "fax_number": "352-387-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SW 27TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714306",
            "telephone_number": "352-671-3130",
            "fax_number": "352-387-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "QUINTYNE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-671-3130"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vines Hospital Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.