SALEM VILLAGES MRDD, INC
NPI 1750440236
Intermediate Care Facility, Intellectual Disabilities in Starke, FL

Active since December 08, 2006
102 ALEXANDER RD, STARKE, FL 32091(352) 372-0130 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Salem Villages Mrdd, Inc NPPES

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

SALEM VILLAGES MRDD, INC (NPI 1750440236) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Starke, Florida and active in the NPI registry since December 2006. The organization lists Deena Ombres, Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1750440236
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSALEM VILLAGES MRDD, INC
Location Address102 ALEXANDER RDStarke, FL 32091-4521
Mailing Address10140 Linn Station RdLouisville, KY 40223-3813 · (800) 866-0860
Organization SubpartNo
Authorized OfficialDeena OmbresPrivacy Officer · (502) 394-2387
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 8, 2010
NPI 1750440236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
102 ALEXANDER RD, Starke, FL 32091

Other Identifiers 1

Medicaid028060700FL

Other Providers at the Same Location NPPES 3

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

Intermediate Care Facility, Intellectual Disabilities
102 ALEXANDER RD
STARKE, FL 32091
Intermediate Care Facility, Intellectual Disabilities
102 ALEXANDER RD
STARKE, FL 32091
Intermediate Care Facility, Intellectual Disabilities
102 ALEXANDER RD
STARKE, FL 32091

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 Salem Villages Mrdd, Inc's NPI number?

The NPI number for Salem Villages Mrdd, Inc is 1750440236. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Salem Villages Mrdd, Inc located?

Salem Villages Mrdd, Inc is located at 102 Alexander Rd, Starke, FL 32091. The listed phone number is (352) 372-0130.

What is Salem Villages Mrdd, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Salem Villages Mrdd, Inc was last updated on December 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.