Habilitative Services of North Florida

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

670805696 Issued in FL

Legal business name

HABILITATIVE SERVICES OF NORTH FLORIDA

Practice address

4440 Putnam St
Marianna, FL 32446-3455

Phone

(850) 482-5391

Fax

(850) 482-2833

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Natalie Hardy

Title

Executive Director

Phone

(850) 482-5391

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1437587086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 PUTNAM ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463455",
            "telephone_number": "850-482-5391",
            "fax_number": "850-482-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 PUTNAM ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463455",
            "telephone_number": "850-482-5391",
            "fax_number": "850-482-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABILITATIVE SERVICES OF NORTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-482-5391",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "670805696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER PROVIDER",
            "identifier": "670805696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Delaine Griffin, LMHC
• Johnny Guest, LICENSED AID DEALER
• Tanya Scroggins Gulledge, LCSW
• David W Gullett, CRNA
• Mary Gurganus, ND
• Leslie A. Hall, IMH
• Robert Michael Hall, ARNP
• Timothy Hall
• Hanger Prosthetics & Orthotics Inc
• Maxwell Harrell

• Developmentally Disabled Services Day Training Agency in Marianna, FL
• Providers in Marianna, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

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