Great Expectations of Lake County Corporation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GREAT EXPECTATIONS OF LAKE COUNTY CORPORATION

Practice address

5345 Twin Palms Rd
Fruitland Park, FL 34731-6050

Phone

(352) 314-0202

Fax

(352) 504-0233

NPI assigned

Feb 2, 2026

Organization subpart

No

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

Authorized official

Name

Tina Marie FlanneryNPI 1760332605

Title

Owner/Director

Phone

(352) 460-7009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tina Marie Flannery

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fruitland Park, FL
  • NPI 1760332605

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1578413134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W NORTH BLVD STE 2",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483922",
            "telephone_number": "352-314-0202",
            "fax_number": "352-504-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 TWIN PALMS RD",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347316050",
            "telephone_number": "352-314-0202",
            "fax_number": "352-504-0233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Oakwood Ln",
            "address_purpose": "LOCATION",
            "city": "Fruitland Park",
            "state": "FL",
            "postal_code": "347312330",
            "country_code": "US",
            "telephone_number": "352-314-0202",
            "fax_number": "352-504-0233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 SW 66th Pl",
            "address_purpose": "LOCATION",
            "city": "Bushnell",
            "state": "FL",
            "postal_code": "335133588",
            "country_code": "US",
            "telephone_number": "352-314-0202",
            "fax_number": "352-504-0233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 W Dade Ave",
            "address_purpose": "LOCATION",
            "city": "Bushnell",
            "state": "FL",
            "postal_code": "335135424",
            "country_code": "US",
            "telephone_number": "352-314-0202",
            "fax_number": "352-504-0233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Newell Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347489629",
            "country_code": "US",
            "telephone_number": "352-314-0202",
            "fax_number": "352-504-0233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 Twin Palms Rd",
            "address_purpose": "LOCATION",
            "city": "Fruitland Park",
            "state": "FL",
            "postal_code": "347314904",
            "country_code": "US",
            "telephone_number": "352-314-0202",
            "fax_number": "352-504-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT EXPECTATIONS OF LAKE COUNTY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "FLANNERY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "352-460-7009"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Giddens, OT/L
• Marquisa Denise Gillard
• Claudia Gonzalez
• Lauren Gordon
• Rachael Graham, RDN, LDN
• Briana Gregory
• Jennifer Griffin
• Miranda Haugn
• Healthier Minds Matter Corp
• Heidis Haven LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fruitland Park, FL
• Providers in Fruitland Park, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.