NPIMap

Organization Active NPI

La Amistad Residential Treatment Center , LLC

Doing business as LaAmistad Behavioral Health Services

  • Psychiatric Residential Treatment Facility
  • Maitland, FL
National Provider Identifier
1811964737
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
4381 Issued in FL
Legal business name
LA AMISTAD RESIDENTIAL TREATMENT CENTER , LLC
Doing business as
LaAmistad Behavioral Health Services
Practice address
1650 N Park Ave
Maitland, FL 32751-6570
Phone
(407) 647-0660
NPI assigned
Mar 1, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Steve Filton
Title
Cfo Sr VP
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 4381 FL Primary

Addresses

Primary practice location

1650 N Park Ave
Maitland, FL 32751-6570

Mailing address

1650 N Park Ave
Maitland, FL 32751-6570
Phone (407) 647-0660

Other names 1

  • LaAmistad Behavioral Health Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0979980La Amistad Residential Treatment Ctr1650 Park Avenue North, Maitland, FL 32751Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
La Amistad Residential Treatment Center LLC2 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.

Locations

1650 N Park Ave
Maitland, FL 32751
Phone (407) 230-8910

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1811964737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N PARK AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516570",
            "telephone_number": "407-647-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 N PARK AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516570",
            "telephone_number": "407-647-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA AMISTAD RESIDENTIAL TREATMENT CENTER , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO  SR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": "4381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaAmistad Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.