NPIMap

Organization Active NPI

Premier Behavioral Solutions of Florida, Inc.

Doing business as Manatee Palms Youth Services

  • Psychiatric Residential Treatment Facility
  • Bradenton, FL
National Provider Identifier
1417094160
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
4356 Issued in FL
Legal business name
PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA, INC.
Doing business as
Manatee Palms Youth Services
Palm Shores Behavioral Health Center
Suncoast Behavioral Health Center
Practice address
1324 37TH Ave E
Bradenton, FL 34208-4555
Phone
(941) 792-2222
Fax
(941) 761-1632
NPI assigned
Jan 31, 2007
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Steve Filton
Title
SRVP Cfo
Phone
(610) 768-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X FL
Psychiatric Residential Treatment Facility 323P00000X 4356 FL Primary

Addresses

Primary practice location

1324 37TH Ave E
Bradenton, FL 34208-4555

Mailing address

1324 37TH Ave E
Bradenton, FL 34208-4555
Phone (941) 792-2222

Other practice location 1

4480 51st St W
Bradenton, FL 34210-2855
Phone (941) 251-5000

Other identifiers 9

IdentifierTypeStateIssuer
070565900MedicaidFL
E1GOtherFLBLUE CROSS BLUE SHIELD
HS927PIMedicaidAK
100502475MedicaidNV
004835OtherCABLUE CROSS BLUE SHIELD
070565916MedicaidFL
086070OtherVALUE OPTIONS
409164700MedicaidMD
034730600MedicaidDC

Other names 3

  • Manatee Palms Youth Services Doing business as
  • Palm Shores Behavioral Health Center Doing business as
  • Suncoast Behavioral Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417094160. Details of each certification follow.

  • CCN 10L016 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 10L016

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PALM SHORES BEHAVIORAL HEALTH CENTER SIPP
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Mar 10, 2016
Last certification
Jun 20, 2023
Beds
64
Ownership / control type
Non-profit – corporation
Facility address
1324 37TH Ave E
Bradenton, FL 34208

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0916978Palm Shores Behavioral Health Center1324 37TH Ave E, Bradenton, FL 34208Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Manatee Palms Group Homes4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1417094160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 37TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084555",
            "telephone_number": "941-792-2222",
            "fax_number": "941-761-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 37TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084555",
            "telephone_number": "941-792-2222",
            "fax_number": "941-761-1632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4480 51st St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342102855",
            "country_code": "US",
            "telephone_number": "941-251-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SRVP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": "4356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070565900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "E1G",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS927PI",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502475",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "004835",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070565916",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "086070",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409164700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034730600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manatee Palms Youth Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Shores Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suncoast Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.