NPIMap

Organization Active NPI

Florida Sheriffs Youth Ranches

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bartow, FL
National Provider Identifier
1689972689
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
858012627900C0 Issued in FL
Legal business name
FLORIDA SHERIFFS YOUTH RANCHES
Practice address
3350 State Road 60 E
Bartow, FL 33830-8471
Phone
(863) 533-0371
NPI assigned
Mar 1, 2011
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Bill Frye
Title
VP of Programs
Phone
(386) 842-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 858012627900C0 FL Primary

Addresses

Primary practice location

3350 State Road 60 E
Bartow, FL 33830-8471

Mailing address

3350 State Road 60 E
Bartow, FL 33830-8471

National Provider Directory

National Provider Directory
Tax ID family
Florida Sheriffs Youth Ranches5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

3350 State Road 60 E
Bartow, FL 33830
Phone (813) 460-4451

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1689972689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 STATE ROAD 60 E",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338308471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 STATE ROAD 60 E",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338308471",
            "telephone_number": "863-533-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SHERIFFS YOUTH RANCHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "VP OF PROGRAMS",
        "authorized_official_telephone_number": "386-842-5501"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "FL",
            "license": "858012627900C0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.