PARENT SUPPORT, LLC


Address: 146 Sunset View Dr., Davenport, FL 33896
Phone: 4079014000

PARENT SUPPORT, LLC (NPI# 1124476064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124476064
Entity Type Organization
Organization Name PARENT SUPPORT, LLC
Other Organization Name HEART TRANSFORMATION TREATMENT
Practice Address 146 Sunset View Dr.
Davenport
FL 33896
Practice Telephone 4079014000
Practice Fax Number 4079304830
Mailing Telephone 4079014000
Mailing Fax Number 4079304830
Enumeration Date 2016-06-01
Last Update Date 2016-06-02
Authorized Official Name DR. VICKKI-ANN S. SAMUEL (MEDICAL DIRECTOR)
Authorized Official Telephone 4079014000
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness CARF ACCREDITED FL Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Heart Transformation Treatment Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942757661 Parent Support, LLC Local Education Agency (LEA) 1442 Brush St, Suite 200, Detroit, MI 48226-2285 2016-09-11
1528415247 Parent Support, LLC Community Based Residential Treatment Facility, Mental Illness 389 Sand Ridge Dr, Davenport, FL 33896-4717 2016-05-23
1144661166 Parent Support, LLC Community Based Residential Treatment Facility, Mental Illness 389 Sand Ridge Dr., Davenport, FL 33896 2013-07-08
1477000289 Parent Support, LLC Local Education Agency (LEA) 2 Tower Center Blvd, 19th Floor Suite 1901, East Brunswick, NJ 08816-1100 2016-09-09

Office Location

Street Address 146 SUNSET VIEW DR.
City DAVENPORT
State FL
Zip Code 33896

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1780081869 Legends Dermatology, LLC Dermatology 1497 Legends Boulevard, Davenport, FL 33896 2014-12-04
1144661166 Parent Support, LLC Community Based Residential Treatment Facility, Mental Illness 389 Sand Ridge Dr., Davenport, FL 33896 2013-07-08
1982984498 Ruba Khandakji Pharmacist 1395 Tuscana Lane, Davenport, FL 33896 2011-08-29
1326358029 Sabrina C Pardo Dietitian, Registered 2000 Victoria Park Dr., Apt. 2302, Davenport, FL 33896 2010-10-15
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528415247 Parent Support, LLC Community Based Residential Treatment Facility, Mental Illness 389 Sand Ridge Dr, Davenport, FL 33896-4717 2016-05-23
1144661166 Parent Support, LLC Community Based Residential Treatment Facility, Mental Illness 389 Sand Ridge Dr., Davenport, FL 33896 2013-07-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427688852 Tropical Gardens LLC Community Based Residential Treatment Facility, Mental Illness 150 Ne 212th St, Miami Gardens, FL 33179-1017 2020-01-24
1417505850 Herve Franck Community Based Residential Treatment Facility, Mental Illness 13901 Folkestone Cir, Wellington, FL 33414-7825 2019-08-28
1568014868 Hestia House of Florida, Inc. Community Based Residential Treatment Facility, Mental Illness 816 N Grandview Ave # 2, Daytona Beach, FL 32118-3721 2019-07-16
1336628155 Lavoryia Timmons Community Based Residential Treatment Facility, Mental Illness 24940 Hyde Park Blvd, Land O Lakes, FL 34639-6306 2018-08-13
1003324534 Donyell Jones Community Based Residential Treatment Facility, Mental Illness 6239 Edgewater Dr Ste V2, Orlando, FL 32810-4764 2018-01-18
1437672748 Reasons for Change, LLC Community Based Residential Treatment Facility, Mental Illness 143 Silver Beach Road, Lake Park, FL 33403 2017-07-18
1316477029 Cerrato Associates Incorporation Community Based Residential Treatment Facility, Mental Illness 755 Shady Oaks Dr Apt 310, Palm Coast, FL 32164-2578 2017-06-14
1356877047 Samaritan Counseling Center Community Based Residential Treatment Facility, Mental Illness 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 2017-05-02
1780119917 Open Arm Housing and Care Community Based Residential Treatment Facility, Mental Illness 4031 Nw 91st Ters, Sunrise, FL 33351 2017-04-25
1487002317 Second Chance Phoenix Ministry, Inc Community Based Residential Treatment Facility, Mental Illness 3218 Eagle Watch Dr, Kissimmee, FL 34746-3138 2016-06-01
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Competitor

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City DAVENPORT
Zip Code 33896

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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