Organization Active NPI

Hestia House of Florida, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Daytona Beach, FL
National Provider Identifier
1568014868
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HESTIA HOUSE OF FLORIDA, INC.
Practice address
816 N Grandview Ave # 2
Daytona Beach, FL 32118-3721
Phone
(904) 460-4919
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Mark Anthony Mite
Title
Owner
Phone
(904) 460-4919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

816 N Grandview Ave # 2
Daytona Beach, FL 32118-3721

Mailing address

816 N Grandview Ave # 2
Daytona Beach, FL 32118-3721
Phone (904) 460-4919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1568014868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N GRANDVIEW AVE # 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183721",
            "telephone_number": "904-460-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 N GRANDVIEW AVE # 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183721",
            "telephone_number": "904-460-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESTIA HOUSE OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "MITE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-460-4919"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.