VICTORIA MICHELE DEWATERS NPI 1326613589

NPI Information

NPI: 1326613589
Provider Name: VICTORIA MICHELE DEWATERS
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Individual
Address:
8790 53RD WAY N
PINELLAS PARK, FL
ZIP 33782
Phone: (727) 804-1442
Get Directions

Victoria Michele Dewaters is a day training developmentally disabled services in Pinellas Park, 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. Victoria Michele Dewaters NPI is 1326613589. 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:

8790 53RD WAY N
PINELLAS PARK, FL
ZIP 33782-180
Phone: (727) 804-1442
Fax: (727) 491-5508

The enumeration date for this NPI number is 5/20/2021 and was last updated on 6/4/2021.

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	Primary
1	251B00000X	Case Management		No
2	251C00000X	Day Training, Developmentally Disabled Services		Yes
3	261QD1600X	Clinic/Center	Developmental Disabilities	No
4	171M00000X	Case Manager/Care Coordinator		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
1	022082900	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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