AGENCY FOR PERSONS WITH DISABILITIES NPI 1245398361

NPI Information

  • NPI: 1245398361
  • Provider Name: AGENCY FOR PERSONS WITH DISABILITIES
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: GULF COAST CENTER ICF DD - STATE OF FL
  • Address: 5820 BUCKINGHAM ROAD
    FT MYERS, FL
    ZIP 33905
  • Phone: (239) 690-3662

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NPI Details

AGENCY FOR PERSONS WITH DISABILITIES is an intermediate care facility mentally retarded in Ft Myers, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. AGENCY FOR PERSONS WITH DISABILITIES NPI is 1245398361. The provider is registered as an organization entity type.
The provider Is Doing Business As Gulf Coast Center Icf Dd - State Of Fl.

The provider's business location address is:

5820 BUCKINGHAM ROAD
FT MYERS, FL
ZIP 33905-413
Phone: (239) 690-3662
Fax: (239) 694-5802

The provider's authorized official is Michael S Mayfield .
The authorized official title is Center Administrator and has the following contact phone number (239) 690-3652.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 6/18/2008.

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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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 Other Provider Identifier Issuer
10280011-00MEDICAIDFLORIDA
20280135-00MEDICAIDFLORIDA
30280178-00MEDICAIDFLORIDA
40280089-00MEDICAIDFLORIDA
50280224-00MEDICAIDFLORIDA
60280127-00MEDICAIDFLORIDA

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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