St. Andrew Bay Center, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ST. ANDREW BAY CENTER, INC.

Practice address

1804 Carolina Avenue
Lynn Haven, FL 32444

Phone

(850) 265-2951

Fax

(850) 248-2952

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cathy Miller Howell

Title

Executive Director

Phone

(850) 265-2951

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

St Andrew Bay Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• St. Andrew Bay Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Lynn Haven, FL
  • NPI 1023082849
  NPD tax ID

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1467679142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1320",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "32444",
            "telephone_number": "850-265-2951",
            "fax_number": "850-248-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 CAROLINA AVENUE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "32444",
            "telephone_number": "850-265-2951",
            "fax_number": "850-248-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANDREW BAY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-265-2951",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024388498",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024388496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Carlton Smelcer
• Camille Goethe Smith, MSW
• Kimberly Nicole Snow, APRN
• Crystal Lateesa Snyder
• St. Andrew Bay Center, Inc.
• Lauronda Staples, LPN
• Jessica Marie Steele, RBT
• Storyarc Therapy
• Summer'S Landing, LLC
• Summers Landing LLC

• Developmentally Disabled Services Day Training Agency in Lynn Haven, FL
• Providers in Lynn Haven, 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 May 18, 2012; 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.