COMMUNITY RESIDENTIAL SERVICES (NPI# 1760671150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760671150 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESIDENTIAL SERVICES |
| Practice Address |
14675 Copeland Way Spring Hill FL 34604-0000 |
| Practice Telephone | 3523454250 |
| Mailing Telephone | 3523454250 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | FITZROY BARRINGTON EDMONSON (CHIEF OPERATION OFFICER) |
| Authorized Official Telephone | 7573199924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporation | COMMUNITY RESIDENTIAL SERVICES INC. | 163 BUTLER STREET , NEW BEDFORD, MA 02741 |
| Washington Corporation | COMMUNITY RESIDENTIAL SERVICES INC. | 1200 HARRIS STE 307, BELLINGHAM, WA 98225 |
| Street Address |
14675 COPELAND WAY |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34604-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940116 | Zackery T Wynn | Chiropractor | 3155 Aerial Way, Brooksville, FL 34604 | 2018-01-26 |
| 1841740545 | Debra Bence | Registered Nurse | 4259 Caskie Place, Brooksville, FLORIDA 34604 | 2016-10-06 |
| 1750516878 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 3101 Aerial Way, Brooksville, FL 34604-0629 | 2009-05-19 |
| 1235424995 | John Michael Sivon Jr. | Pharmacist | 3101 Aerial Way, T-2489, Spring Hill, FL 34604-0629 | 2011-06-10 |
| 1801425251 | Global Jetcare, Inc. | Ambulance | 15421 Technology Dr, Brooksville, FL 34604-0634 | 2020-04-07 |
| 1558362798 | Jason O Baldwin | Pharmacist | 4002 Clear Spring Rd, Brooksville, FL 34604-0655 | 2005-08-10 |
| 1518950724 | Scott M Gebhardt | Internal Medicine | 2264 Dog Leg Ct, Brooksville, FL 34604-1000 | 2005-08-24 |
| 1770603045 | Melissa Ann Franz | Speech-Language Pathologist | 638 White Flower Way, Brooksville, FL 34604-1450 | 2007-03-30 |
| 1942606066 | Stephanie Safos-moriarty | Counselor | 15381 Durango Cir, Brooksville, FL 34604-5008 | 2014-11-17 |
| 1245780162 | Hernando Healthcare Associates, Pa | Clinic/Center | 15468 Durango Cir, Brooksville, FL 34604-5009 | 2016-10-04 |
| Find all providers in zip 34604 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578843884 | Spirit of R&p LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12361 Coronado Dr, Spring Hill, FL 34609-4711 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568294 | Open Skyes Family Care Home, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5600 Sw 36th St, West Park, FL 33023-6106 | 2020-11-08 |
| 1124628565 | Rachelle Homehealth Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8539 Gate Pkwy W Unit 9134, Jacksonville, FL 32216-1037 | 2020-10-26 |
| 1497368203 | Careola LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3248 Landing Vw, Tavares, FL 32778-2035 | 2020-08-31 |
| 1982218764 | The Home W/ Guiding Hands | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1256 N Florida Ave, Tarpon Springs, FL 34689-2004 | 2020-08-31 |
| 1306459359 | Joy-little Enterprise LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9148 Ridge Blvd, Jacksonville, FL 32208-1265 | 2020-08-28 |
| 1720691082 | Ohana In Home Senior Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 421 W Georgia St, Tallahassee, FL 32301-1011 | 2020-08-26 |
| 1003428467 | Pamella Omelda Odoms-brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 541 Shirley Dr., Apopka, FL 32712 | 2020-08-18 |
| 1831700020 | Mikerline Lyns | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10941 Winding Creek Ln, Boca Raton, FL 33428-5664 | 2020-08-12 |
| 1902416993 | Faith Care Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3800 Inverrary Blvd Ste 408d, Lauderhill, FL 33319-4359 | 2020-08-04 |
| 1063020188 | Kristine Kaiser Cravener | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1095 Beckman Dr, South Daytona, FL 32119-2499 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | SPRING HILL |
| Zip Code | 34604 |
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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.