MS. GLADYS A GAINES NPI 1013214691

NPI Information

NPI: 1013214691
Provider Name: MS. GLADYS A GAINES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Individual
Address:
5109 STURGEON DR
SEBRING, FL
ZIP 33870
Phone: (863) 253-7510
Get Directions

MS. Gladys A Gaines is a community based residential treatment facility mental illness in Sebring, FL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MS. Gladys A Gaines NPI is 1013214691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5109 STURGEON DR
SEBRING, FL
ZIP 33870-173
Phone: (863) 253-7510
Fax: (863) 386-9117

The enumeration date for this NPI number is 2/17/2011 and was last updated on 3/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	103TA0700X	Psychologist	Adult Development & Aging		No
2	251E00000X	Home Health			No
3	252Y00000X	Early Intervention Provider Agency			No
4	253Z00000X	In Home Supportive Care			No
5	251300000X	Local Education Agency (LEA)			No
6	343900000X	Non-emergency Medical Transport (VAN)			No
7	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities		No
8	390200000X	Student in an Organized Health Care Education/Training Program			No
9	103TS0200X	Psychologist	School	FLORIDA	No
10	172A00000X	Driver		FLORIDA	No
11	222Q00000X	Developmental Therapist		FLORIDA	No
12	251C00000X	Day Training, Developmentally Disabled Services		FLORIDA	No
13	320700000X	Residential Treatment Facility, Physical Disabilities			No
14	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		FLORIDA	No
15	320800000X	Community Based Residential Treatment Facility, Mental Illness			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	002313900	MEDICAID	FLORIDA
2	002536200	MEDICAID	FLORIDA
3	002313600	MEDICAID	FLORIDA
4	000630100	MEDICAID	FLORIDA
5	000309700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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