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SOUTH CENTRAL CARE PROVIDER LLC
NPI 1255197737
Clinic/Center - Developmental Disabilities in Winter Haven, FL

Active since February 22, 2024
2797 RECKER HWY, WINTER HAVEN, FL 33880(954) 805-5488 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Central Care Provider Llc NPPES

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

SOUTH CENTRAL CARE PROVIDER LLC (NPI 1255197737) is a healthcare organization registered as a developmental disabilities in Winter Haven, Florida and active in the NPI registry since February 2024. The organization lists Diamond Belle, Qwner, as its authorized official.

NPPES Registry Identity

NPI1255197737
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameSOUTH CENTRAL CARE PROVIDER LLC
Location Address2797 RECKER HWYWinter Haven, FL 33880-1940
Mailing Address2797 Recker HwyWinter Haven, FL 33880-1940 · (954) 805-5488
Phone(954) 805-5488
Organization SubpartNo
Authorized OfficialDiamond BelleQwner · (954) 805-5488
Enumeration DateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1255197737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
2797 RECKER HWY, Winter Haven, FL 33880
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Other Names 1

Former Legal Business NameSouth Central Care Provider Llc

Other Providers at the Same Location NPPES

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

SOUTH CENTRAL HOME COMPANION
Home Health
2797 RECKER HWY
WINTER HAVEN, FL 33880
Polk County (954) 805-5488

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 South Central Care Provider LLC's NPI number?

The NPI number for South Central Care Provider LLC is 1255197737. It was assigned to this organization in the NPPES registry on February 22, 2024.

Where is South Central Care Provider LLC located?

South Central Care Provider LLC is located at 2797 Recker Hwy, Winter Haven, FL 33880. The listed phone number is (954) 805-5488.

What is South Central Care Provider LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for South Central Care Provider LLC was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.