Community Life Development

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

COMMUNITY LIFE DEVELOPMENT

Practice address

1030 Big Oaks Blvd
Oviedo, FL 32765

Phone

(847) 707-9956

NPI assigned

Dec 12, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Yaneth Barreto, BANPI 1225428527

Title

Target Case Manager

Phone

(847) 707-9956

Specialties & licenses 1

Addresses

Other names 1

• behavioral health clinic Doing business as

Tax ID family

Behavioral Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Changing Directions of America, Inc

  • Community/Behavioral Health Agency
  • Maitland, FL
  • NPI 1558622431
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yaneth Barreto, BA

  • Case Manager/Care Coordinator
  • Oviedo, FL
  • NPI 1225428527
  NPD (past) Authorized official

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720486319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BIG OAKS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656005",
            "telephone_number": "847-707-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BIG OAKS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "847-707-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIFE DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BARRETO",
        "authorized_official_first_name": "YANETH",
        "authorized_official_title_or_position": "TARGET CASE MANAGER",
        "authorized_official_telephone_number": "847-707-9956",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "behavioral health clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriella Comartin, RBT
• Comfortable Care Dental Health Professionals, P.a.
• Comfortable Care Dental Health Professionals, PA
• Comito Pharmacy LLC
• Community Advancement Development, Inc.
• Complete Care Centers, LLC
• Darice Concepcion, RBT
• Confirmative Management Services, LLC
• Amanda L Conklin, MS, RD, LDN, CNSC
• Melanie Connatser, PTA

• Health Maintenance Organization in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.