STALLWORTH COMMUNITY SERVICES INC (NPI# 1265690366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265690366 |
| Entity Type | Organization |
| Organization Name | STALLWORTH COMMUNITY SERVICES INC |
| Other Organization Name | SUCCESSFUL DEVELOPMENT INC |
| Practice Address |
304 26th Avenue East Bradenton FL 34208 |
| Mailing Address |
Po Box 57 Tallevast FL 34270 |
| Practice Telephone | 9415364449 |
| Practice Fax Number | 9413558699 |
| Mailing Telephone | 9415364449 |
| Mailing Fax Number | 9413558699 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | MRS. JANELL LATRICE STALLWORTH (PRESIDENT EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9415364449 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 690209096 | 05 |
| Other Name | Type Code |
|---|---|
| Successful Development Inc | Former Legal Business Name - Organization |
| Street Address |
304 26TH AVENUE EAST |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611221 | Florida United Methodist Childrens Home, Inc. | Community/Behavioral Health | 6220 Manatee Ave W Ste 302, Bradenton, FL 34209-2362 | 2020-02-13 |
| 1679061295 | Pediatric Aba 2 Inc | Community/Behavioral Health | 3711 Cortez Rd W Ste 140, Bradenton, FL 34210-3150 | 2018-04-30 |
| 1821431495 | Manatee County Substance Abuse Coalition, Inc. | Community/Behavioral Health | 1112 Manatee Ave W, Suite 303, Bradenton, FL 34205-7804 | 2013-04-12 |
| 1396985446 | The Aba Network, LLC | Community/Behavioral Health | 5014 25th St E, Bradenton, FL 34203-3838 | 2009-03-03 |
| 1801084306 | Comprehensive Mental Health Solutions | Community/Behavioral Health | 318 Old Main St # 23, Bradenton, FL 34205-7819 | 2007-10-09 |
| 1235327818 | Positive Behavior Interventions, Inc | Community/Behavioral Health | 12327 Winding Woods Way, Bradenton, FL 34202-2062 | 2007-10-09 |
| 1477611903 | Operation Par Inc | Community/Behavioral Health | 6253 14th St W, Bradenton, FL 34207-4611 | 2006-12-05 |
| 1952768681 | Camelot Community Care Inc | Community/Behavioral Health | 5225 Office Park Blvd, Bradenton, FL 34203-3440 | 2016-01-26 |
| 1386829695 | Susan J. Rosen Wolfson LLC | Community/Behavioral Health | 3657 Cortez Rd W, Suite 130, Bradenton, FL 34210-3106 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STALLWORTH COMMUNITY SERVICES INC.
| 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.