ARCHANGEL RAPHAEL MINISTRY CENTER INC
NPI 1720847726
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Myers, FL

Active since March 13, 2024
19800 ALLAIRE LN, FORT MYERS, FL 33908(918) 704-8881 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Residential Treatment Facility, Intellec...

About ARCHANGEL RAPHAEL MINISTRY CENTER INC

This page provides the complete NPI Profile along with additional information for Archangel Raphael Ministry Center Inc, a provider established in Fort Myers, Florida operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1720847726 assigned on March 2024. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Fr. Joachim Boutros (Trustee)

NPI
1720847726 Verify this NPI
Provider Name
ARCHANGEL RAPHAEL MINISTRY CENTER INC
Entity Type
Organization
Location Address
19800 ALLAIRE LN FORT MYERS, FL 33908
Location Phone
(918) 704-8881
Mailing Address
19800 ALLAIRE LN FORT MYERS, FL 33908
Mailing Phone
(918) 704-8881
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2024
Last Update Date
09-04-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FR. JOACHIM BOUTROS

Authorized Official Title
TRUSTEE
Authorized Official Phone
(918) 704-8881

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720847726, enumerated as an "organization" on March 13, 2024.

The provider is located at 19800 ALLAIRE LN FORT MYERS, FL 33908 and the phone number is (918) 704-8881.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.