Community Mentors

LBN: Successful Systems, Inc.
Community Mentors is an health care organization with primary practice located at 699 Clay St , Winter Park FL 32789-4553. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Successful Systems, Inc. can be contacted via phone (407) 740-7673, or through Rivers, Michele Beth via phone (407) 740-7673.

Contact Information

Primary practice address
699 Clay St Winter Park FL 32789-4553
Phone: (407) 740-7673
Fax: (407) 875-0887
Website:
Map and Directions
Authorized official contact:
Name: Rivers, Michele Beth B.S., SLC, SE
Phone: (407) 740-7673

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 229205 Florida

Profile Details

NPI number 1689840480
LBN Legal business name Successful Systems, Inc.
DBA Doing business as Community Mentors
Authorized official Rivers, Michele Beth B.S., SLC, SE
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - about 16 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 1689840480 NPPES
Florida Other 674014696 MEDICAID WAIVER
Florida Other 674014698 MEDICAID WAIVER

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