NPIMap

Organization Active NPI

Phoenix Programs of Florida, Inc.

Doing business as Phoenix Houses of Florida

  • Community/Behavioral Health Agency
  • Brandon, FL
National Provider Identifier
1962542423
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1329AD294801 Issued in FL
Legal business name
PHOENIX PROGRAMS OF FLORIDA, INC.
Doing business as
Phoenix Houses of Florida
Practice address
510 Vonderburg Dr.
Suite 301
Brandon, FL 33511-6072
Phone
(813) 881-1000
Fax
(813) 689-2856
NPI assigned
Feb 7, 2007
Last updated
Jan 24, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PHOENIX HOUSE FOUNDATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Maria Alvarez
Title
Executive VP. & Regional Director
Phone
(813) 881-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0542AD294801 FL
Community/Behavioral Health Agency 251S00000X 1329AD294801 FL Primary

Addresses

Primary practice location

510 Vonderburg Dr.
Suite 301
Brandon, FL 33511-6072

Mailing address

510 Vonderburg Dr.
Suite 301
Brandon, FL 33511-6072
Phone (813) 881-1000

Other identifiers 1

IdentifierTypeStateIssuer
076716600MedicaidFL

Other names 1

  • Phoenix Houses of Florida Doing business as

National Provider Directory

National Provider Directory
Part of
Phoenix House Foundation

Locations

15681 N US Highway 301
Citra, FL 32113
Phone (352) 595-5000

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1962542423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 VONDERBURG DR.",
            "address_2": "SUITE 301",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116072",
            "telephone_number": "813-881-1000",
            "fax_number": "813-689-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 VONDERBURG DR.",
            "address_2": "SUITE 301",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116072",
            "telephone_number": "813-881-1000",
            "fax_number": "813-689-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PROGRAMS OF FLORIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX HOUSE FOUNDATION, INC.",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE VP. & REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "813-881-1000"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "0542AD294801",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1329AD294801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076716600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Houses of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.