SEQUEL TSI OF FLORIDA, LLC (NPI# 1881051290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881051290 |
| Entity Type | Organization |
| Organization Name | SEQUEL TSI OF FLORIDA, LLC |
| Other Organization Name | ALACHUA ACADEMY |
| Practice Address |
3430 Ne 39th Ave Gainesville FL 32609-2638 |
| Practice Telephone | 3529552105 |
| Mailing Telephone | 3529552105 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |
| Authorized Official Name | MR. KENNY ROBERTS (VP OF OPERATIONS) |
| Authorized Official Telephone | 2568803339 |
| Is Organization Subpart | Y |
| Parent Organization Name | SEQUEL YOUTH AND FAMILY SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Alachua Academy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699222026 | Sequel Tsi of Florida, LLC | Substance Abuse Rehabilitation Facility | 9680 Fairground Rd, West Palm Beach, FL 33411-3528 | 2016-09-01 |
| Street Address |
3430 NE 39TH AVE |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-2638 |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215492186 | Lanier Treatment Center | Substance Abuse Rehabilitation Facility | 592 Medical Park Dr Ste A, Gainesville, GA 30501-2055 | 2019-02-05 |
| 1912371196 | Summit Bhc Monroe, LLC | Substance Abuse Rehabilitation Facility | 204 W Academy St Sw, Gainesville, GA 30501-3557 | 2015-11-25 |
| 1669803383 | Angel House of Georgia | Substance Abuse Rehabilitation Facility | 822 Maple St, Gainesville, GA 30501-4436 | 2013-12-05 |
| 1275735649 | Alachua County Metamorphosis | Substance Abuse Rehabilitation Facility | 4201 Sw 21st Pl, Gainesville, FL 32607-4282 | 2007-06-05 |
| 1316345002 | Gainesville Clearing House, Inc | Substance Abuse Rehabilitation Facility | 322 Spring St Se, Gainesville, GA 30501-3736 | 2014-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
Please comment or provide details below to improve the information on SEQUEL TSI OF FLORIDA, LLC.
| 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.