Safe Harbor for Individual With Disabilities

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SAFE HARBOR FOR INDIVIDUAL WITH DISABILITIES

Practice address

2315 NW Little Cat Rd
Madison, FL 32340-4256

Phone

(850) 973-4009

NPI assigned

Dec 16, 2015

Last updated

Dec 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Yvette AlexanderNPI 1497180640

Title

Case Manager/Care Coordinator

Phone

(850) 973-4009

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Yvette Alexander

  • Case Manager/Care Coordinator
  • Madison, FL
  • NPI 1497180640
  NPD (past) Authorized official

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1760847859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 NW LITTLE CAT RD",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323404256",
            "telephone_number": "850-973-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 NW LITTLE CAT RD",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323404256",
            "telephone_number": "850-973-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR FOR INDIVIDUAL WITH DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "CASE MANAGER/CARE COORDINATOR",
        "authorized_official_telephone_number": "850-973-4009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009552100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele B Richardson, ARNP,FNP-BC
• Roderick K Shaw III DMD PA
• Clint A Rogers, DMD
• Rosa's Caring Heart, LLC
• S&S Senior Housing of Madison LLC.
• Kimberly M. Sanders, P.T.
• Rachael E Sapp, ARNP
• Kristin Campbell Searcy, DPT
• Ira John Seasholtz, D.O.
• Senior Citizens Council of Madison

• Case Management Agency in Madison, FL
• Providers in Madison, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.