Organization Name: | BELLROAD HUMAN SERVICES INC. |
NPI Number: | 1528401023 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIE PEASE (PRESIDENT) |
Mailing Address: | 182 Bell Rd Havana |
State: | FL US |
Postal Code: | 323333770 |
Phone Number: | 8505398510 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2013 |
NPI Last Update Date: | 04/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3104A0625X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | Assisted Living, Mental Illness |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |