POSITIVE SUPPORT SERVICE NPI 1013443712

NPI Information

  • NPI: 1013443712
  • Provider Name: POSITIVE SUPPORT SERVICE
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • CLIA Number: 10D2174339
  • Address: 1046 SUMMER GLEN DR
    WINTER HAVEN, FL
    ZIP 33880
  • Phone: (863) 845-6323

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NPI Details

POSITIVE SUPPORT SERVICE is a developmental disabilities clinic center in Winter Haven, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). POSITIVE SUPPORT SERVICE NPI is 1013443712. The provider is registered as an organization entity type.

The provider's business location address is:

1046 SUMMER GLEN DR
WINTER HAVEN, FL
ZIP 33880-933
Phone: (863) 845-6323

The provider's authorized official is Embrige Bembry .
The authorized official title is Medicaid Waiver Provider and has the following contact phone number (863) 845-6323.

The CLIA number assigned to this NPI record is 10D2174339 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2017 and was last updated on 5/2/2017.

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 Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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: 11/21/2025

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