NPIMap

Organization Active NPI

Sequel Tsi of Florida, LLC

Doing business as Alachua Academy

  • Substance Abuse Rehabilitation Facility
  • Gainesville, FL
National Provider Identifier
1881051290
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SEQUEL TSI OF FLORIDA, LLC
Doing business as
Alachua Academy
Practice address
3430 NE 39TH Ave
Gainesville, FL 32609-2638
Phone
(352) 955-2105
NPI assigned
Jan 15, 2016
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SEQUEL YOUTH AND FAMILY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Mr. Kenny Roberts
Title
VP of Operations
Phone
(256) 880-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3430 NE 39TH Ave
Gainesville, FL 32609-2638

Mailing address

3430 NE 39TH Ave
Gainesville, FL 32609-2638
Phone (352) 955-2105

Other names 1

  • Alachua Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sequel Tsi of Florida LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3430 NE 39th Ave
Gainesville, FL 32609
Phone (352) 955-2105

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1881051290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 NE 39TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092638",
            "telephone_number": "352-955-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 NE 39TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092638",
            "telephone_number": "352-955-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL TSI OF FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEQUEL YOUTH AND FAMILY SERVICES, LLC",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "256-880-3339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alachua Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.