Allcare of Southwest Florida, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ALLCARE OF SOUTHWEST FLORIDA, LLC

Practice address

2040 Virginia Ave
Fort Myers, FL 33901-3313

Phone

(800) 674-3729

NPI assigned

Aug 23, 2018

Organization subpart

Yes

Parent organization

ALLCARE NATIONALAs reported in NPPES

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

Authorized official

Name

Latonia Smith

Title

Office Manager

Phone

(800) 674-3729

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Allcare of Southwest Florida LLC

Locations

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1598246076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 VIRGINIA AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013313",
            "telephone_number": "800-674-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 VIRGINIA AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013313",
            "telephone_number": "800-674-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE OF SOUTHWEST FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLCARE NATIONAL",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "800-674-3729"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023093100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All Mental Inc
• All Therapies Group Inc
• Roxanna Heshmat Allamey
• Bassan Jorge Allan
• Michelle J Allard
• Matthew Walker Allen IV, DDS
• Ana Allen, LMHC
• Angelique Allen, M.A.
• Ann A Allen, PHARM D
• Christina Allen

• Developmentally Disabled Services Day Training Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.