La Amistad Foundation, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

8569 Issued in FL

Legal business name

LA AMISTAD FOUNDATION, INC.

Practice address

8400 La Amistad CV
Fern Park, FL 32730-2900

Phone

(407) 332-1711

Fax

(407) 331-7291

NPI assigned

Apr 9, 2008

Organization subpart

No

Name

Ms. Helen Booth

Title

President/Ceo

Phone

(407) 332-1711

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

• LAKEWOOD CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2008.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1710150834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 LA AMISTAD CV",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302900",
            "telephone_number": "407-332-1711",
            "fax_number": "407-331-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 LA AMISTAD CV",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302900",
            "telephone_number": "407-332-1711",
            "fax_number": "407-331-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA AMISTAD FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "407-332-1711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": "8569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKEWOOD CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Marie Kazmerski
• Alyssa Key
• Thomas H Kim, O.D.
• Angela Knapp, LCSW
• Hedieh Kouchak
• Raynette Lamar
• Bassem Atef Lawendy
• Adam Ross Leavitt, M.D.
• Nelson Lucca, M.ED.,RMHC
• Edwin Lusung Manalo, P.T.

• All providers in Fern Park, FL
• Psychiatric Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.