Devereux Foundation, Inc.

LBN: Devereux Foundation, Inc.
Devereux Foundation, Inc. is an health care organization with primary practice located at 3350 State Road 60 E , Bartow FL 33830-8471. The organization recently has only one registered license in Agencies / Foster Care Agency, which is considered as the primary health care specialty. Devereux Foundation, Inc. can be contacted via phone (813) 460-4451, or through Lyles, Jessica via phone (267) 637-4536.

Contact Information

Primary practice address
3350 State Road 60 E Bartow FL 33830-8471
Fax:
Website:
Authorized official contact:
Name: Lyles, Jessica

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1053470385
LBN Legal business name Devereux Foundation, Inc.
DBA Doing business as
Authorized official Lyles, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Nov 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053470385 NPPES
Florida MEDICAID 029573603

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