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TALLAHASSEE DEVELOPMENTAL CENTER
NPI 1609875160
Intermediate Care Facility, Mental Illness in Tallahassee, FL

Active since July 18, 2005
455 APPLEYARD DR, TALLAHASSEE, FL 32304(850) 575-0619(850) 576-5773 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tallahassee Developmental Center NPPES

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

TALLAHASSEE DEVELOPMENTAL CENTER (NPI 1609875160) is a healthcare organization registered as an intermediate care facility, mental illness in Tallahassee, Florida and active in the NPI registry since July 2005. The organization lists Fred Jiminez, Program Services Director, as its authorized official.

NPPES Registry Identity

NPI1609875160
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameTALLAHASSEE DEVELOPMENTAL CENTER
Location Address455 APPLEYARD DRTallahassee, FL 32304-2808
Mailing Address455 Appleyard DrTallahassee, FL 32304-2808 · (850) 575-0619 · Fax (850) 576-5773
Phone(850) 575-0619
Fax(850) 576-5773
Organization SubpartNo
Authorized OfficialFred JiminezProgram Services Director · (850) 575-0619
Enumeration DateJuly 18, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1609875160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
License✔ Licensed in FL · 4096096
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
455 APPLEYARD DR, Tallahassee, FL 32304
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Other Providers at the Same Location NPPES

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

FLORIDA MENTOR II LLC
Intermediate Care Facility, Intellectual Disabilities
455 APPLEYARD DR
TALLAHASSEE, FL 32304
Leon County (850) 575-0619

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 Tallahassee Developmental Center's NPI number?

The NPI number for Tallahassee Developmental Center is 1609875160. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is Tallahassee Developmental Center located?

Tallahassee Developmental Center is located at 455 Appleyard Dr, Tallahassee, FL 32304. The listed phone number is (850) 575-0619.

What is Tallahassee Developmental Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Tallahassee Developmental Center 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 5 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.