PEGGY MARY GROGAN
NPI 1235883075
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Deland, FL

Q: What is Peggy Grogan's NPI number?

The NPI number for Peggy Grogan is 1235883075. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Q: What is Peggy Grogan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peggy Grogan was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 10, 2022

1721 TIMBER EDGE DR, DELAND, FL 32724(386) 589-6313(386) 626-2675 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Peggy Mary Grogan NPPES

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

PEGGY MARY GROGAN (NPI 1235883075) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Deland, Florida, licensed in Florida (12-12-010) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1235883075

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NamePEGGY MARY GROGAN

Location Address1721 TIMBER EDGE DRDeland, FL 32724-7985

Mailing Address1721 Timber Edge DrDeland, FL 32724-7985 · (386) 589-6313 · Fax (386) 626-2675

Phone(386) 589-6313

Fax(386) 626-2675

Sole ProprietorYes

Enumeration DateFebruary 10, 2022

NPPES CertifiedFebruary 10, 2022

✔ NPI 1235883075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in FL · 12-12-010

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1721 TIMBER EDGE DR, Deland, FL 32724

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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 Peggy Grogan's NPI number?

The NPI number for Peggy Grogan is 1235883075. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Peggy Grogan located?

Peggy Grogan practices at 1721 Timber Edge Dr, Deland, FL 32724. The listed phone number is (386) 589-6313.

What is Peggy Grogan'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 Peggy Grogan was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.