TINA M. FLANNERY – NPI #1760332605
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

TINA FLANNERY is a community based residential treatment facility located in FRUITLAND PARK, FL. NPPES has assigned the NPI number 1760332605 to TINA FLANNERY on January 30, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was last updated on Feb 02, 2026. 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 TINA FLANNERY below.

NPI Profile for
TINA M. FLANNERY

NPI Number
1760332605
Enumeration Date

(about 4 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TINA M. FLANNERY
Primary location
5345 TWIN PALMS RD
FRUITLAND PARK, FL 34731-6050
Phone: (352) 460-7009 Fax: (352) 504-0233
5 Other location(s):
1050 SW 66th Pl
Bushnell, FL 33513-3588
Phone: (352) 460-7009
Fax: (352) 504-0233
218 W Dade Ave
Bushnell, FL 33513-5424
Phone: (352) 460-7009
Fax: (352) 504-0233
405 Oakwood Ln
Fruitland Park, FL 34731-2330
Phone: (352) 460-7009
Fax: (352) 504-0233
5151 Twin Palms Rd
Fruitland Park, FL 34731-4904
Phone: (352) 460-7009
Fax: (352) 504-0233
603 Newell Hill Rd Fl USA
Leesburg, FL 34748-9629
Phone: (352) 460-7009
Fax: (352) 504-0233
Mailing address
1310 W NORTH BLVD STE 2
LEESBURG, FL 34748-3922
Phone: (352) 460-7009 Fax: (352) 460-7009
Sole Proprietor
No
Updated
Certification Date
Feb 02, 2026

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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
FL 13002375A

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.