ARCHANGEL RAPHAEL MINISTRY CENTER INC – NPI #1720847726
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

ARCHANGEL RAPHAEL MINISTRY CENTER INC is a residential treatment facility located in FORT MYERS, FL. NPPES has assigned the NPI number 1720847726 to ARCHANGEL RAPHAEL MINISTRY CENTER INC on March 13, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was last updated on Sep 04, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARCHANGEL RAPHAEL MINISTRY CENTER INC below.

NPI Profile for
ARCHANGEL RAPHAEL MINISTRY CENTER INC

NPI Number
1720847726
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARCHANGEL RAPHAEL MINISTRY CENTER INC
Primary location
19800 ALLAIRE LN
FORT MYERS, FL 33908-4828
Phone: (918) 704-8881 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FR. JOACHIM BOUTROS
TRUSTEE
Phone: (918) 704-8881
Updated
Certification Date
Sep 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.