Sandise Care Services

Primary specialty

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

Legal business name

SANDISE CARE SERVICES

Practice address

441 Fronda Ave SW
Palm Bay, FL 32908-7514

Phone

(305) 397-7765

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Sandise Metayer

Title

Owner

Phone

(305) 397-5040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1699339630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 FRONDA AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087514",
            "telephone_number": "305-397-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 FRONDA AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087514",
            "telephone_number": "305-397-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDISE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "METAYER",
        "authorized_official_first_name": "SANDISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-397-5040",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Palm Bay, FL
• Providers in Palm Bay, 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 Jun 11, 2019; 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.