POPULUS PRIMUS LLC
NPI 1003625112
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wimauma, FL

Active since January 03, 2025
14523 CALLEN GLEN WAY, WIMAUMA, FL 33598(727) 226-2196 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Populus Primus Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POPULUS PRIMUS LLC (NPI 1003625112) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Wimauma, Florida and active in the NPI registry since January 2025. The organization lists Tanisha Foster, Owner, as its authorized official.

NPPES Registry Identity

NPI1003625112
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePOPULUS PRIMUS LLC
Location Address14523 CALLEN GLEN WAYWimauma, FL 33598-6179
Mailing Address14523 Callen Glen WayWimauma, FL 33598-6179 · (727) 226-2196
Organization SubpartNo
Authorized OfficialTanisha FosterOwner · (727) 226-2196
Enumeration DateJanuary 3, 2025
NPPES CertifiedJanuary 3, 2025
NPI 1003625112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
14523 CALLEN GLEN WAY, Wimauma, FL 33598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Populus Primus LLC's NPI number?

The NPI number for Populus Primus LLC is 1003625112. It was assigned to this organization in the NPPES registry on January 3, 2025.

Where is Populus Primus LLC located?

Populus Primus LLC is located at 14523 Callen Glen Way, Wimauma, FL 33598. The listed phone number is (727) 226-2196.

What is Populus Primus LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Populus Primus LLC was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.