SANDY PARK DEVELOPMENTAL CENTER
NPI 1043323934
Intermediate Care Facility, Intellectual Disabilities in North Fort Myers, FL

Active since August 16, 2006
2975 GARDEN ST, NORTH FORT MYERS, FL 33917(239) 995-5833(239) 995-4856 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandy Park Developmental Center NPPES

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

SANDY PARK DEVELOPMENTAL CENTER (NPI 1043323934) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in North Fort Myers, Florida and active in the NPI registry since August 2006. The organization lists Jamie Latture Collier, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1043323934
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameFLORIDA PREFERRED CARE DEVELOPMENTAL CENTERS I, INC
Location Address2975 GARDEN STNorth Fort Myers, FL 33917-1883
Mailing Address751 Avignon Dr, Suite IRidgeland, MS 39157-5161 · (601) 607-7195 · Fax (601) 607-7196
Fax(239) 995-4856
Organization SubpartNo
Authorized OfficialJamie Latture CollierDirector Of Reimbursement · (601) 607-7195
Enumeration DateAugust 16, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1043323934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in FL · 4071095
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2975 GARDEN ST, North Fort Myers, FL 33917

Other Names 1

Doing Business AsSandy Park Developmental Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2266523

Sandy Park Development Center · N Ft Myers, FL
Expired · Aug 10, 2026
CLIA Number10D2266523
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorAmber Jones
Laboratory Phone(239) 995-5833
Laboratory LocationSandy Park Development Center2975 Garden St, N Ft Myers, FL 33917
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Intellectual Disabilities
2975 GARDEN ST
N FT MYERS, FL 33917
Intermediate Care Facility, Intellectual Disabilities
2975 GARDEN ST
FORT MYERS, FL 33917

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 Florida Preferred Care Developmental Centers I, Inc's NPI number?

The NPI number for Florida Preferred Care Developmental Centers I, Inc is 1043323934. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Sandy Park Developmental Center.

Where is Florida Preferred Care Developmental Centers I, Inc located?

Florida Preferred Care Developmental Centers I, Inc is located at 2975 Garden St, North Fort Myers, FL 33917. The listed phone number is (239) 995-5833.

What is Florida Preferred Care Developmental Centers I, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Florida Preferred Care Developmental Centers I, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.