Westside Group Home, Inc.

Primary specialty

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

License

3209000000X Issued in FL

Legal business name

WESTSIDE GROUP HOME, INC.

Practice address

2602 43Rd St W
Bradenton, FL 34209-6212

Phone

(941) 795-1084

Fax

(941) 792-0385

NPI assigned

Dec 9, 2010

Last updated

Dec 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Iliana R Stokes

Title

PSD

Phone

(941) 794-5759

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Skilled Nursing Services, Inc.

  • Home Health Agency
  • Bradenton, FL
  • NPI 1316240062
  NPPES parent name

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1588967723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 1ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092331",
            "telephone_number": "941-794-5759",
            "fax_number": "941-794-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 43RD ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096212",
            "telephone_number": "941-795-1084",
            "fax_number": "941-792-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "ILIANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSD",
        "authorized_official_telephone_number": "941-794-5759",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "3209000000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B Westawski, MD
• Western Behavioral Center, LLC
• Weston Medical Associates
• Kimberly Trishelle Weston, APN, FNP-BC
• Patrick Weston, M.D.
• Westside Medical Care, Inc
• Westside Radiation Oncology, Inc
• Bobbie Wetsky, RN
• Blannie M. Whelan, NP
• Carlina L. White-Youssouf, APRN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bradenton, FL
• Providers in Bradenton, 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 Dec 9, 2010; 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.