Fern Park Developmental Center
LBN: Progressive Health Care Providers/Fern Park, Llc
Fern Park Developmental Center is an health care organization with primary practice located at 230 Fern Park Blvd , Fern Park FL 32730-2500. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Progressive Health Care Providers/Fern Park, Llc can be contacted via phone (407) 331-7231, or through Revell, Terry via phone (407) 331-7231.
Contact Information
Primary practice address
230 Fern Park Blvd
Fern Park FL 32730-2500
Phone: (407) 331-7231
Fax: (407) 331-9251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 4022095 | Florida |
Profile Details
| NPI number | 1447259254 |
|---|---|
| LBN Legal business name | Progressive Health Care Providers/Fern Park, Llc |
| DBA Doing business as | Fern Park Developmental Center |
| Authorized official | Revell, Terry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447259254 | NPPES |
| Florida | Other | 4022095 | ICF/DD LICENSE |
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