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SMA HEALTHCARE INC NPI 1316132772


NPI Information

NPI: 1316132772
Provider Name: SMA HEALTHCARE INC

Former Legal Business Name: ACT CORPORATION

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 10D0913748

Address:
225 FENTRESS BLVD STE A
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 236-3221
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SMA HEALTHCARE INC is a day training developmentally disabled services in Daytona Beach, FL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. SMA HEALTHCARE INC NPI is 1316132772. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Act Corporation.

The provider's business location address is:

225 FENTRESS BLVD STE A
DAYTONA BEACH, FL
ZIP 32114-203
Phone: (386) 236-3221
Fax: (386) 258-4507

The provider's authorized official is Ivan A Cosimi .
The authorized official title is Ceo and has the following contact phone number (386) 236-1811.

The CLIA number assigned to this NPI record is 10D0913748 - other - crisis stabilization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 7/29/2021.


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
1251C00000XDay Training, Developmentally Disabled ServicesYes
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No

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
1060311296MEDICAIDFLORIDA
2060311215MEDICAIDFLORIDA
3060311298MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.