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FERN PARK DEVELOPMENTAL CENTER
NPI 1447259254
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fern Park, FL

Active since July 14, 2005
230 FERN PARK BLVD, FERN PARK, FL 32730(407) 331-7231(407) 331-9251 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fern Park Developmental Center NPPES

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

FERN PARK DEVELOPMENTAL CENTER (NPI 1447259254) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fern Park, Florida and active in the NPI registry since July 2005. The organization lists Terry Revell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447259254
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePROGRESSIVE HEALTH CARE PROVIDERS/FERN PARK, LLC
Location Address230 FERN PARK BLVDFern Park, FL 32730-2500
Mailing Address230 Fern Park BlvdFern Park, FL 32730-2500 · (407) 331-7231 · Fax (407) 331-9251
Phone(407) 331-7231
Fax(407) 331-9251
Organization SubpartNo
Authorized OfficialTerry RevellAdministrator · (407) 331-7231
Enumeration DateJuly 14, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1447259254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in FL · 4022095
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
230 FERN PARK BLVD, Fern Park, FL 32730
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Other Names 1

Doing Business AsFern Park Developmental Center

Other Identifiers 1

Other4022095FL · Icf/dd License

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 Progressive Health Care Providers/Fern Park, LLC's NPI number?

The NPI number for Progressive Health Care Providers/Fern Park, LLC is 1447259254. It was assigned to this organization in the NPPES registry on July 14, 2005. The provider is doing business as Fern Park Developmental Center.

Where is Progressive Health Care Providers/Fern Park, LLC located?

Progressive Health Care Providers/Fern Park, LLC is located at 230 Fern Park Blvd, Fern Park, FL 32730. The listed phone number is (407) 331-7231.

What is Progressive Health Care Providers/Fern Park, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Progressive Health Care Providers/Fern Park, LLC 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 6 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.