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ERICA DENISE IRVIN
NPI 1487173753
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Tavares, FL

Active since September 18, 2017
4681 MARSH HARBOR DR, TAVARES, FL 32778(352) 602-1308 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 18, 2017 (2 updates tracked since 2017).

About Erica Denise Irvin NPPES

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

ERICA DENISE IRVIN (NPI 1487173753) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Tavares, Florida and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1487173753
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameERICA DENISE IRVIN
Location Address4681 MARSH HARBOR DRTavares, FL 32778
Mailing Address4681 Marsh Harbor DrTavares, FL 32778-4764 · (352) 602-1308
Phone(352) 602-1308
Sole ProprietorYes
Enumeration DateSeptember 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1487173753 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
Definition

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

4681 MARSH HARBOR DR, Tavares, FL 32778
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Other Identifiers 1

Medicaid684300FL

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 Erica Irvin's NPI number?

The NPI number for Erica Irvin is 1487173753. It was assigned to this individual provider in the NPPES registry on September 18, 2017.

Where is Erica Irvin located?

Erica Irvin practices at 4681 Marsh Harbor Dr, Tavares, FL 32778. The listed phone number is (352) 602-1308.

What is Erica Irvin'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 Erica Irvin was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.