NPIMap

Organization Active NPI

Florida Department of Children and Families

  • Psychiatric Hospital
  • Pembroke Pines, FL
National Provider Identifier
1447422928
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
4013 Issued in FL
Legal business name
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Practice address
800 E Cypress Dr
Pembroke Pines, FL 33025-4543
Phone
(954) 392-3000
Fax
(954) 392-3041
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Ms. Joy Neves
Title
Chief, Samh Contract Management
Phone
(850) 488-3250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 4013 FL Primary

Addresses

Primary practice location

800 E Cypress Dr
Pembroke Pines, FL 33025-4543

Mailing address

1317 Winewood Blvd
Building 6, Room 237
Tallahassee, FL 32399-6570
Phone (850) 488-3250

Other identifiers 1

IdentifierTypeStateIssuer
026004500MedicaidFL

Other names 1

  • South Florida State Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090420000435 FL Part A Provider - Hospital 5092613570 Practice locations: Pembroke Pines, FL

Hospital certification: CCN 104001

Legal name
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Doing business as
SOUTH FLORIDA STATE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Dec 1, 2023
Beds
350 (50 certified)
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
800 E Cypress Dr
Pembroke Pines, FL 33025-4543
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
FL Department of Childr9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1317 Winewood Blvd
Ste 6
Tallahassee, FL 32399
Phone (850) 487-2902

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Recsol Recovery Solutions LLC Organization, Nashville, TN LLC Operational/Managerial Control Apr 29, 2025 100%
Rena Flynn Individual W-2 Managing EmployeeAccounting Services Analyst D Apr 4, 2024
Melvin Lozano Individual W-2 Managing EmployeeBusiness Manager Nov 26, 2018
Roland G Peltier Individual W-2 Managing EmployeeAd; Feb 16, 2025
Operational/Managerial ControlAdministrator Feb 16, 2025

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Florida State HospitalChattahoochee, FL, CCN 104000 Hospital Operational/Managerial Control (100%) May 8, 2012
Florida State HospitalChattahoochee, FL, CCN 100298 Hospital Operational/Managerial Control (100%) Jan 1, 1990

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Care Compare: Hospital

Medicare Care Compare
Listed as
South Florida State HospitalCCN 104001
Type
Psychiatric
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1447422928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 WINEWOOD BLVD",
            "address_2": "BUILDING 6, ROOM 237",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323996570",
            "telephone_number": "850-488-3250",
            "fax_number": "850-487-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CYPRESS DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254543",
            "telephone_number": "954-392-3000",
            "fax_number": "954-392-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "NEVES",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CHIEF, SAMH CONTRACT MANAGEMENT",
        "authorized_official_telephone_number": "850-488-3250",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "FL",
            "license": "4013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026004500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida State Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Florida State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.