BAYSHORE TBI INC. NPI 1558802140

NPI Information

  • NPI: 1558802140
  • Provider Name: BAYSHORE TBI, INC.
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 2201 CANTU CT
    SUITE 119
    SARASOTA, FL
    ZIP 34232
  • Phone: (941) 993-0797

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NPI Details

BAYSHORE TBI, INC. is a community based residential treatment facility mental illness in Sarasota, FL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BAYSHORE TBI, INC. NPI is 1558802140. The provider is registered as an organization entity type.

The provider's business location address is:

2201 CANTU CT
SUITE 119
SARASOTA, FL
ZIP 34232-260
Phone: (941) 993-0797
Fax: (941) 260-5907

The provider's authorized official is Mitchell Dittman .
The authorized official title is Owner/president and has the following contact phone number (941) 993-0797.

The enumeration date for this NPI number is 3/15/2017 and was last updated on 3/15/2017.

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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness233926FLORIDAYes

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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