PREVENT OF BREVARD NPI 1538369632

Community/Behavioral Health in Melbourne, FL

NPI 1538369632 Organization Community/Behavioral Health

About PREVENT OF BREVARD

Prevent Of Brevard is a provider established in Melbourne, Florida specializing in community/behavioral health. The NPI number of Prevent Of Brevard is 1538369632 and was assigned on July 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Ms. Helen Kay Heimmer (President/ceo)

NPI

1538369632

Provider NamePREVENT OF BREVARD
Provider Location Address1948 PINEAPPLE AVE MELBOURNE, FL 32935
Provider Mailing Address1948 PINEAPPLE AVE MELBOURNE, FL 32935
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-18-2007
Last Update Date07-18-2007


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
License StateFL
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

PREVENT OF BREVARD
1948 PINEAPPLE AVE
MELBOURNE, FL
ZIP 32935
Phone: (321) 259-7262
Fax: (321) 259-7198

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Mailing Address

PREVENT OF BREVARD
1948 PINEAPPLE AVE
MELBOURNE, FL
ZIP 32935
Phone: (321) 259-7262
Fax: (321) 259-7198



Authorized Official

Authorized Official NameMS. HELEN KAY HEIMMER
Authorized Official TitlePRESIDENT/CEO
Authorized Official Phone(321) 259-7262

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063440022PREVENT OF BREVARD, INC.
Organization
Case Management1948 PINEAPPLE AVE
MELBOURNE, FL 32935
(321) 259-7262
1225213705MS. DONNA MARIE VARY LMHC
Individual
Counselor (Mental Health)1948 PINEAPPLE AVE
MELBOURNE, FL 32935
(321) 259-7262

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.