ACTIVE CARE GROUP HOME – NPI #1851626337
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

ACTIVE CARE GROUP HOME is a community based residential treatment facility located in SAINT PETERSBURG, FL. NPPES has assigned the NPI number 1851626337 to ACTIVE CARE GROUP HOME on October 16, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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.

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 ACTIVE CARE GROUP HOME below.

NPI Profile for
ACTIVE CARE GROUP HOME

NPI Number
1851626337
Enumeration Date

(more than 16 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
ACTIVE CARE GROUP HOME
Primary location
3935 43RD AVE N
SAINT PETERSBURG, FL 33714-3620
Phone: (727) 235-8753 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ESMERALDA MANUKONDA
PRESIDENT
Phone: (727) 452-0448
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 AL11427

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.