HEART TRANSFORMATION TREATMENT – NPI #1124476064
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

HEART TRANSFORMATION TREATMENT is a community based residential treatment facility located in DAVENPORT, FL. NPPES has assigned the NPI number 1124476064 to HEART TRANSFORMATION TREATMENT on June 01, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HEART TRANSFORMATION TREATMENT” is a dba name, the actual legal business name for this organization is PARENT SUPPORT, LLC. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 10 years ago on Jun 02, 2016. 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 HEART TRANSFORMATION TREATMENT below.

NPI Profile for
PARENT SUPPORT, LLC

NPI Number
1124476064
Enumeration Date

(more than 10 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
PARENT SUPPORT, LLC
Doing Business As (dba): HEART TRANSFORMATION TREATMENT
Primary location
146 SUNSET VIEW DR.
DAVENPORT, FL 33896
Phone: (407) 901-4000 Fax: (407) 930-4830
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VICKKI-ANN SAMUEL
MEDICAL DIRECTOR
Phone: (407) 901-4000
Updated
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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
FL CARF ACCREDITED

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.