SOUTHERN PARKS INC NPI 1558667279

NPI Information

  • NPI: 1558667279
  • Provider Name: SOUTHERN PARKS INC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Doing Business As: SOUTHERN OAKS ALF
  • Address: 157 WILL DUKES RD
    WAUCHULA, FL
    ZIP 33873
  • Phone: (863) 773-9557

Map and Directions

Get Directions

NPI Details

SOUTHERN PARKS INC is an assisted living and mental illness assisted living facility in Wauchula, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. SOUTHERN PARKS INC NPI is 1558667279. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Oaks Alf.

The provider's business location address is:

157 WILL DUKES RD
WAUCHULA, FL
ZIP 33873-308
Phone: (863) 773-9557
Fax: (863) 773-0764

The provider's authorized official is Sanny Prado Paningbatan .
The authorized official title is Administrator and has the following contact phone number (863) 773-9557.

The enumeration date for this NPI number is 1/27/2011 and was last updated on 2/16/2011.

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 Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessAL7853FLORIDAYes

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
1140885200MEDICAIDFLORIDA

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI