NPIMap

Organization Active NPI

Ocala Behavioral Health, LLC

  • Psychiatric Hospital
  • Ocala, FL
National Provider Identifier
1508037771
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
4488 Issued in FL
Legal business name
OCALA BEHAVIORAL HEALTH, LLC
Practice address
3130 SW 27TH Avenue
Ocala, FL 34471
Phone
(352) 671-3130
Fax
(352) 387-0767
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Steve Filton
Title
Sr VP & Ceo
Phone
(610) 768-3300

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 4488 FL Primary
Psychiatric Residential Treatment Facility 323P00000X
Psychiatric Residential Treatment Facility 323P00000X 45 FL
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

3130 SW 27TH Avenue
Ocala, FL 34471

Mailing address

3130 SW 27TH Avenue
Ocala, FL 34471
Phone (352) 671-3130

Other identifiers 1

IdentifierTypeStateIssuer
160000100MedicaidFL

Other names 1

  • The Vines Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080728000157 FL Part A Provider - Hospital 0244303014 Practice locations: Ocala, FL

Hospital certification: CCN 104071

Legal name
OCALA BEHAVIORAL HEALTH LLC
Doing business as
THE VINES HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 12, 2008
Last certification
Jan 10, 2012
Beds
98
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 1, 2008 (1 total)
Organization structure
LLCProprietary
Incorporated
Feb 20, 2008 in DE
Enrollment address
3130 SW 27TH Ave
Ocala, FL 34471-4306
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
The Vines HospitalCCN 104071
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Ocala Behavioral Health LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

3130 SW 27th Ave
Ocala, FL 34471
Phone (352) 547-2081

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Premier Behavioral Solutions, Inc. Organization, Prussia, PA Corporation 5% Or Greater Direct Ownership Interest Feb 20, 2008 100%
George H Brunner Individual Corporate OfficerAssistant Secretary Nov 15, 2010 100%
Clint D. Hauger Individual Contracted Managing EmployeeCeo Mar 25, 2024
Corporate OfficerCeo Mar 25, 2024
Teresa Felix Individual Contracted Managing EmployeeCfo Jul 1, 2024
Corporate OfficerCfo Jul 1, 2024
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVice President & Board Member Nov 15, 2010 100%
Corporate DirectorVice President & Board Member Nov 15, 2010 33.3%
Operational/Managerial ControlVice President & Board Member Nov 15, 2010 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Corporate DirectorTreasurer Nov 15, 2010 33.3%
Operational/Managerial ControlTreasurer Nov 15, 2010 100%
Universal Health Services Inc Organization, Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Nov 15, 2010 50%
Uhs of Delaware Inc Organization, Prussia, PA Corporation Operational/Managerial Control Nov 15, 2010 100%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Feb 20, 2008 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 25, 2022 86.5%

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1508037771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SW 27TH AVENUE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-671-3130",
            "fax_number": "352-387-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SW 27TH AVENUE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-671-3130",
            "fax_number": "352-387-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP & CEO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "FL",
            "license": "4488",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": "45",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160000100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vines Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.