NPIMap

Organization Active NPI

Centerstone of Florida, Inc.

  • Community/Behavioral Health Agency
  • Fort Myers, FL
National Provider Identifier
1497324495
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTERSTONE OF FLORIDA, INC.
Practice address
4350 Fowler St
Fort Myers, FL 33901-2699
Phone
(941) 782-4150
NPI assigned
Jun 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Sean Gingras
Title
Regional Finance Officer
Phone
(941) 782-4299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4350 Fowler St
Fort Myers, FL 33901-2699

Mailing address

PO Box 9478
Bradenton, FL 34206-9478
Phone (941) 782-4150

Other names 1

  • Centerstone FACT Lee North & South and CAT Lee Other name

National Provider Directory

National Provider Directory
Tax ID family
Manatee Glens Corp4 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": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1497324495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9478",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342069478",
            "telephone_number": "941-782-4150",
            "fax_number": "941-782-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 FOWLER ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339012699",
            "telephone_number": "941-782-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "GINGRAS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "REGIONAL FINANCE OFFICER",
        "authorized_official_telephone_number": "941-782-4299"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerstone FACT Lee North & South and CAT Lee",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.