Twin Oaks Juvenile Development, Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

TWIN OAKS JUVENILE DEVELOPMENT, INC

Practice address

11939 NW State Road 20
Bristol, FL 32321-3416

Phone

(850) 643-1090

Fax

(850) 643-1091

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald B Read

Title

Ceo

Phone

(850) 643-1090

Specialties & licenses 1

Addresses

Tax ID family

Greenville Hills Academy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Twin Oaks

  • Community/Behavioral Health Agency
  • Greenville, FL
  • NPI 1689853152
  NPD tax ID
• Twin Oaks Juvenile Development

  • Public Health or Welfare Agency
  • Bristol, FL
  • NPI 1033187471
  NPD tax ID

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1649221011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323210068",
            "telephone_number": "850-643-1090",
            "fax_number": "850-643-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11939 NW STATE ROAD 20",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323213416",
            "telephone_number": "850-643-1090",
            "fax_number": "850-643-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN OAKS JUVENILE DEVELOPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-643-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Ann Summers
• Lisa G Taylor, RN
• Todd C Terry
• Gidgetta Thomas, LPN
• Twin Oaks Juvenile Development
• Elyse Wahlquist Van Wagenen, MA CCC SLP
• Ruby Lee Varnum
• Varnum'S Rest Home, LLC
• Lindsay Wahila, LMHC
• Hammadah Talib Wahlquist

• Social Worker in Bristol, FL
• Providers in Bristol, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.