NETTIE MAE BERRY FOUNDATION LLC
NPI 1679734396
Day Training, Developmentally Disabled Services in Gainesville, FL

Q: What is Nettie Mae Berry Foundation LLC's NPI number?

The NPI number for Nettie Mae Berry Foundation LLC is 1679734396. It was assigned to this organization in the NPPES registry on June 25, 2008.

Q: What is Nettie Mae Berry Foundation LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since June 25, 2008

113 NE 39TH PL, GAINESVILLE, FL 32609(352) 258-3450(352) 376-5474 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nettie Mae Berry Foundation Llc NPPES

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

NETTIE MAE BERRY FOUNDATION LLC (NPI 1679734396) is a healthcare organization registered as a day training, developmentally disabled services in Gainesville, Florida and active in the NPI registry since June 2008. The organization lists Tandra Laimikia Simmons, Owner, as its authorized official.

NPPES Registry Identity

NPI1679734396

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameNETTIE MAE BERRY FOUNDATION LLC

Location Address113 NE 39TH PLGainesville, FL 32609-1717

Mailing Address113 Ne 39th PlGainesville, FL 32609-1717 · (352) 258-3450 · Fax (352) 376-5474

Phone(352) 258-3450

Fax(352) 376-5474

Organization SubpartNo

Authorized OfficialTandra Laimikia SimmonsOwner · (352) 258-3450

Enumeration DateJune 25, 2008

✔ NPI 1679734396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in FL · 689678298

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

113 NE 39TH PL, Gainesville, FL 32609

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Other Identifiers 1

Medicaid689678298FL

Other Providers at the Same Location NPPES

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

NETTIE MAE BERRY FOUNDATION LLC

Day Training, Developmentally Disabled Services

113 NE 39TH PL
GAINESVILLE, FL 32609

Alachua County (352) 376-4653

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 Nettie Mae Berry Foundation LLC's NPI number?

The NPI number for Nettie Mae Berry Foundation LLC is 1679734396. It was assigned to this organization in the NPPES registry on June 25, 2008.

Where is Nettie Mae Berry Foundation LLC located?

Nettie Mae Berry Foundation LLC is located at 113 NE 39th Pl, Gainesville, FL 32609. The listed phone number is (352) 258-3450.

What is Nettie Mae Berry Foundation LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Nettie Mae Berry Foundation LLC was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.