Brookwood Florida - South, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BROOKWOOD FLORIDA - SOUTH, INC

Practice address

253 Rose St
N Fort Myers, FL 33903-3759

Phone

(239) 652-0354

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKWOOD FLORIDA - CENTRAL, INCAs reported in NPPES

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

Authorized official

Name

Mrs. Deanette Elaine Monje, MH7929

Title

Program Director

Phone

(727) 822-4789

Specialties & licenses 1

Addresses

Part of

Brookwood Florida Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brookwood Florida - Central, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • St Petersburg, FL
  • NPI 1760486427
  NPPES parent name

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1740432806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 ROSE ST",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339033759",
            "telephone_number": "239-652-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 ROSE ST",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339033759",
            "telephone_number": "239-652-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD FLORIDA - SOUTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKWOOD FLORIDA - CENTRAL, INC",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "MONJE",
        "authorized_official_first_name": "DEANETTE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "727-822-4789",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MH7929"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.