AGENCY FOR PERSONS WITH DISABILITIES (NPI# 1548339492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548339492 |
| Entity Type | Organization |
| Organization Name | AGENCY FOR PERSONS WITH DISABILITIES |
| Other Organization Name | TACACHALE FACILITY 2 |
| Practice Address |
1621 Ne Waldo Rd Gainesville FL 32609-3900 |
| Practice Telephone | 3529555668 |
| Practice Fax Number | 3529556038 |
| Mailing Telephone | 3529555668 |
| Mailing Fax Number | 3529556038 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | MR. DON E. THOMAS (SUPERINTENDENT) |
| Authorized Official Telephone | 3529555856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4090096 | FL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Tacachale Facility 2 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245398361 | Agency for Persons With Disabilities | Intermediate Care Facility, Mentally Retarded | 5820 Buckingham Road, Ft Myers, FL 33905-7413 | 2006-12-04 |
| 1225278989 | Agency for Persons With Disabilities | Day Training, Developmentally Disabled Services | 3700 Williams Dr, Marianna, FL 32446-7973 | 2009-02-20 |
| 1154447696 | Agency for Persons With Disabilities | Intermediate Care Facility, Mentally Retarded | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2007-03-22 |
| 1093875650 | Agency for Persons With Disabilities | Clinic/Center | 3700 Williams Drive, Marianna, FL 32446 | 2006-12-12 |
| 1366511214 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1275602120 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1457420309 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1184793036 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1457438244 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-01 |
| Street Address |
1621 NE WALDO RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891758009 | Timothy Hoyt Leslie | Physical Therapist | 1621 Ne Waldo Rd, Tacachale Physical Therapy Department, Gainesville, FL 32609-3900 | 2006-04-10 |
| 1659708899 | Carolyn V Lightner | Registered Nurse | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2013-10-02 |
| 1154649978 | Sharon Mayes | Nurse Practitioner | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2010-05-05 |
| 1104157643 | Jacqueline Kay Jackson | Family Medicine | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2010-01-22 |
| 1750523957 | Apd - Tacachale | Physical Therapist | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2009-04-02 |
| 1275771560 | Apd - Tacachale | Dentist | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2009-01-26 |
| 1831303676 | Karen L Victorian | Physical Therapist | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2007-05-10 |
| 1053525741 | Sherri L. Garrett | Physical Therapy Assistant | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2007-05-10 |
| 1265646913 | Joanne Barkin Oren | Physical Therapist | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2007-05-10 |
| 1154447696 | Agency for Persons With Disabilities | Intermediate Care Facility, Mentally Retarded | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804099 | Pristine Healthcare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14402 Newbern Loop, Gainesville, VA 20155-1479 | 2019-10-28 |
| 1609439264 | Fatmata Alie Sankoh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4800 Maurine Ct, Gainesville, VA 20155-1204 | 2019-04-19 |
| 1366511214 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1275602120 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1457420309 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1184793036 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1992874846 | Agency for Persons With Disabilites | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-07 |
| 1457438244 | Agency for Persons With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 Ne Waldo Rd, Gainesville, FL 32609-3900 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396461 | Hillendale Cares LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27357 Frampton Ave, Brooksville, FL 34602-7306 | 2020-11-02 |
| 1699375485 | Violange Joseph | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3310 Sw Frankford St, Port St Lucie, FL 34953-4937 | 2020-10-29 |
| 1407468986 | Winchester Oaks Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 871 Winchester St, Daytona Beach, FL 32114-1977 | 2020-08-17 |
| 1609486844 | Aclaris Care Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7711 N Rome Ave, Tampa, FL 33604-4615 | 2020-08-03 |
| 1386253987 | Rosa Estela Companioni | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6704 Commodore Way, Tampa, FL 33615-5810 | 2020-07-29 |
| 1972121192 | Victorian Manor, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11150 Sw 42nd Ct, Davie, FL 33328-2140 | 2020-07-14 |
| 1881233716 | Elizabeth Stapleton | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4628 25th St Sw, Lehigh Acres, FL 33973-6161 | 2019-12-23 |
| 1689217887 | Angelchild Homecare Corp Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1641 Sunset Point Rd, Clearwater, FL 33755-1657 | 2019-10-21 |
| 1659927325 | Coby Cares Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1754 Barnstable Rd, Wellington, FL 33414-6143 | 2019-08-17 |
| 1518520725 | Freshen Schammua Docile | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9097 Sw 4th St, Boca Raton, FL 33433-4607 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
Please comment or provide details below to improve the information on AGENCY FOR PERSONS WITH DISABILITIES.
| 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.