HOME DETOX INC (NPI# 1831516418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831516418 |
| Entity Type | Organization |
| Organization Name | HOME DETOX INC |
| Practice Address |
530 Us 41 Bypass So Unit 12b Venice FL 34285 |
| Mailing Address |
530 Us 41 Bypass So Unit 12b Venice FL 34285 |
| Practice Telephone | 9414123869 |
| Practice Fax Number | 9414123869 |
| Mailing Telephone | 9414123869 |
| Mailing Fax Number | 9414123869 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |
| Authorized Official Name | MR. NORMAN FRANCIS SHEWMAN (CEO) |
| Authorized Official Telephone | 9414123869 |
| Authorized Official Credential | RN / CAP, RMHCI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LMHLILMH11974 | Behavioral Health & Social Service Providers | |
| N | 163W00000X | Registered Nurse | RN1572552 | FL | Nursing Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAP2957 | FL | Behavioral Health & Social Service Providers |
| Street Address |
530 US 41 BYPASS SO UNIT 12B |
| City | VENICE |
| State | FL |
| Zip Code | 34285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| 1265774186 | Vanessa Hamalian | Nurse Practitioner | 1101 Tamiami Trl S Ste 108, Venice, FL 34285 | 2013-03-18 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1073758926 | Charles Jeffrey Sandoz | Counselor | 530 Us Highway 41 Byp S, Suite 4a, Venice, FL 34285-4750 | 2008-12-06 |
| 1801865977 | Tara Elizabeth Jacobson | Counselor | 2210 S Tamiami Trail, #10, Venice, FL 34293 | 2006-03-14 |
| 1194323659 | Antonio De Jesus Sanchez | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2020-10-15 |
| 1164045886 | Vincent Giovanni Cruz | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-28 |
| 1699397125 | Gerardo Rojas | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-06 |
| 1750926408 | Michel Ferguson | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-11-15 |
| 1881239739 | Barron Lesean Carter | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-11-14 |
| 1457901589 | Daniel John Bouchard | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-09-20 |
| 1093360331 | Sandra Diane Kellar | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2019-08-05 |
| Find all providers in VENICE | ||||
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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.