DISC VILLAGE, INC. (NPI# 1912077017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912077017 |
| Entity Type | Organization |
| Organization Name | DISC VILLAGE, INC. |
| Practice Address |
69 High Dr Crawfordville FL 32327-2032 |
| Mailing Address |
3333 W Pensacola St Tallahassee FL 32304-2888 |
| Practice Telephone | 8509262452 |
| Practice Fax Number | 8509268355 |
| Mailing Telephone | 8505754388 |
| Mailing Fax Number | 8505763317 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS K. OLK (CEO) |
| Authorized Official Telephone | 8505754388 |
| Authorized Official Credential | CAPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
| 1225520687 | Disc Village, Inc. | Community/Behavioral Health | 1000 W Tharpe St Ste 17, Tallahassee, FL 32303-5311 | 2018-06-01 |
| 1255672192 | Disc Village, Inc. | Community/Behavioral Health | 305b W Crawford St, Quincy, FL 32351-3121 | 2013-03-01 |
| 1417297763 | Disc Village, Inc. | Community/Behavioral Health | 603 S M L King Jr Blvd, Tallahassee, FL 32301 | 2013-02-25 |
| 1609104652 | Disc Village, Inc. | Foster Care Agency | 10914 Recovery Way, Tallahassee, FL 32305-1847 | 2009-12-03 |
| 1780754853 | Disc Village, Inc. | Community/Behavioral Health | 1476 Sw Main St, Greenville, FL 32331-3149 | 2006-11-08 |
| 1376613463 | Disc Village, Inc. | Community/Behavioral Health | 411 Us Highway 98, Apalachicola, FL 32320-1238 | 2006-11-08 |
| 1497825350 | Disc Village, Inc. | Community/Behavioral Health | 2967 Natural Bridge Road, Woodville, FL 32362-0568 | 2006-11-08 |
| 1487619391 | Disc Village, Inc. | Substance Abuse Rehabilitation Facility | 3333 W Pensacola St, Tallahassee, FL 32304-2888 | 2006-04-20 |
| 1902369895 | Disc Village, Inc. | Community/Behavioral Health | 10914 Recovery Way, Tallahassee, FL 32305-1847 | 2019-04-09 |
| Street Address |
69 HIGH DR |
| City | CRAWFORDVILLE |
| State | FL |
| Zip Code | 32327-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578083473 | Natasha K Gross | Private Vehicle | 90 Payne Street, Crawfordville, FL 32327 | 2017-06-21 |
| 1598204547 | Crawfordville Pharmacy Inc | Pharmacy | 2650 Crawfordville Hwy, Suite 1, Crawfordville, FL 32327 | 2017-02-22 |
| 1922455666 | Aidia Kirksey | Contractor | 114 Sand Pine Trl, Crawfordville, FL 32327 | 2016-05-23 |
| 1760809545 | Esteem Rehabilitation | Point of Service | 196 Lee Miller Rd, Crawfordville, FL 32327 | 2014-03-18 |
| 1205137114 | Guadalupe D Rodgers | Counselor | 103 Mayfair Drive, Crawfordville, FL 32327 | 2010-11-09 |
| 1164745352 | Gregory Eugene Gast | Counselor | 3295 Crawfordville Hwy., Suite 4, Crawfordville, FL 32327 | 2010-03-02 |
| 1568592897 | Heloise Murphy | Physical Therapist | 2887 Crawfordville Highway, Suite 3, Dubreja Plaza, Crawfordville, FL 32327 | 2007-03-06 |
| 1447344643 | Wal-mart Stores East, Lp | Technician/Technologist | 35 Mike Stewart Dr, Crawfordville, FL 32327 | 2006-10-03 |
| 1659485068 | Lori Christine Cate | Physical Therapist | 2887 Crawfordville Hwy., Unit 3, Crawfordville, FL 32327 | 2006-08-19 |
| 1417987140 | Nhc-op Lp | Home Health | 3034 Coastal Highway, Crawfordville, FL 32327 | 2006-07-05 |
| Find all providers in zip 32327 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982701363 | Apalachee Center Inc | Community/Behavioral Health | 43 Oak St, Crawfordville, FL 32327-2090 | 2006-09-20 |
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| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
| City | CRAWFORDVILLE |
| Zip Code | 32327 |
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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.