Organization Active NPI

NPI 1740007780

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wesley Chapel, FL
National Provider Identifier
1740007780
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Practice address
8833 Sanders Tree Loop
Wesley Chapel, FL 33545-4498
Phone
(239) 989-4844
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Mrs. Roselande H PetithommeNPI 1821816588
Title
Manager
Phone
(239) 989-4844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

8833 Sanders Tree Loop
Wesley Chapel, FL 33545-4498

Mailing address

32229 Hopper Graze BND
Wesley Chapel, FL 33545-4515
Phone (239) 989-4844

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1740007780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32229 HOPPER GRAZE BND",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454515",
            "telephone_number": "239-989-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 SANDERS TREE LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454498",
            "telephone_number": "239-989-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "PETITHOMME",
        "authorized_official_first_name": "ROSELANDE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-989-4844",
        "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": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.