ST. ANDREW BAY CENTER, INC. (NPI# 1467679142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467679142 |
| Entity Type | Organization |
| Organization Name | ST. ANDREW BAY CENTER, INC. |
| Practice Address |
1804 Carolina Avenue Lynn Haven FL 32444 |
| Mailing Address |
P.o. Box 1320 Lynn Haven FL 32444 |
| Practice Telephone | 8502652951 |
| Practice Fax Number | 8502482952 |
| Mailing Telephone | 8502652951 |
| Mailing Fax Number | 8502482952 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-05-18 |
| Authorized Official Name | MS. CATHY MILLER HOWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8502652951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 024388496 | 05 | |
| FL | 024388498 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023082849 | St. Andrew Bay Center, Inc. | Day Training, Developmentally Disabled Services | 1804 Carolina Ave, 1804 Carolina Avenue, Lynn Haven, FL 32444-4256 | 2006-02-16 |
| Street Address |
1804 CAROLINA AVENUE |
| City | LYNN HAVEN |
| State | FL |
| Zip Code | 32444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404062 | Anthony Briel | Military Health Care Provider | 305 S Crag Road, Panama City, FL 32444 | 2019-12-16 |
| 1487155149 | Hope Abigail Koller | Behavior Technician | 2007 Brenda Circle, Lynn Haven, FL 32444 | 2018-02-27 |
| 1871849836 | Kristopher D Isenberg | Physical Therapy Assistant | 307 Geralo Lane, Lynn Haven, FL 32444 | 2012-07-27 |
| 1699067942 | Nation's Best Family Health Care Pllc | Family Medicine | 817 Ohio Avenue, Lynn Haven, FL 32444 | 2011-05-04 |
| 1992989883 | Medstop Pl LLC | Family Medicine | 3003 State Highway 77, Suite A, Lynn Haven, FL 32444 | 2007-12-27 |
| 1407062508 | Dianne Basford Ray | Pharmacist | 1812 Hwy 77 So, Unit #119, Lynn Haven, FL 32444 | 2007-05-15 |
| 1003030412 | Velma L Murphy | Case Manager/Care Coordinator | 1312 Virginia Avenue, Lynn Haven, FL 32444 | 2007-04-13 |
| 1437285087 | Fred William Werner | Pharmacist | 1812 Hwy 77 South, Lynn Haven, FL 32444 | 2007-02-26 |
| 1689746588 | Shawn Dey Walker | Massage Therapist | 1405 Wyoming Ave, Lynn Haven, FL 32444 | 2006-11-15 |
| 1114099017 | Jeannie Guerelle Marquis | Massage Therapist | 1414 Missouri Ave, Lynn Haven, FL 32444 | 2006-11-15 |
| Find all providers in zip 32444 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699801407 | David Mark Gentili | Day Training, Developmentally Disabled Services | 1604 Inverness Rd, Lynn Haven, FL 32444-5417 | 2007-02-26 |
| 1023082849 | St. Andrew Bay Center, Inc. | Day Training, Developmentally Disabled Services | 1804 Carolina Ave, 1804 Carolina Avenue, Lynn Haven, FL 32444-4256 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528361 | Where The Heart Is Home Care Services LLC | Day Training, Developmentally Disabled Services | 110 E Broad St Apt 204, Tampa, FL 33604-4132 | 2020-11-04 |
| 1801496674 | Brandon Martinez | Day Training, Developmentally Disabled Services | 1884 Sw 81st Way, Davie, FL 33324-4609 | 2020-10-29 |
| 1639779721 | The Unique Way LLC | Day Training, Developmentally Disabled Services | 1025 S Ohio Ave Apt 15, Lakeland, FL 33803-1283 | 2020-10-28 |
| 1821696394 | Devotion of Care LLC | Day Training, Developmentally Disabled Services | 1801 Nw 3rd St, Pompano Beach, FL 33069-2756 | 2020-10-15 |
| 1538767298 | Healthy Group Home Project, LLC. | Day Training, Developmentally Disabled Services | 849 Mulberry Ave, Panama City, FL 32401-2556 | 2020-10-15 |
| 1902404742 | Brite Life Adult Training Program, LLC | Day Training, Developmentally Disabled Services | 1300 Nw 95th St, Miami, FL 33147-3320 | 2020-10-14 |
| 1134727845 | Four Seasons Aba | Day Training, Developmentally Disabled Services | 6 Meridian Home Ln, Palm Coast, FL 32137-2402 | 2020-10-14 |
| 1760089429 | Helping Angels Thrive, Inc. | Day Training, Developmentally Disabled Services | 305 Providence Rd Apt 101, Brandon, FL 33511-4739 | 2020-10-06 |
| 1245847268 | Joshua R Grant | Day Training, Developmentally Disabled Services | 2405 Almeda St, Jacksonville, FL 32209-4632 | 2020-09-24 |
| 1417562257 | Peace of Mind Home Care Services | Day Training, Developmentally Disabled Services | 1102 Ray Charles Blvd Unit 314, Tampa, FL 33602-3050 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | LYNN HAVEN |
| Zip Code | 32444 |
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| 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.