Provider Demographics
NPI:1407401177
Name:FAMILY SOLUTIONS OF CENTRAL LLC
Entity Type:Organization
Organization Name:FAMILY SOLUTIONS OF CENTRAL LLC
Other - Org Name:DIVINE FAMILY SOLUTIONS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-877-7568
Mailing Address - Street 1:PO BOX 683635
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32868
Mailing Address - Country:US
Mailing Address - Phone:863-877-7568
Mailing Address - Fax:407-777-1905
Practice Address - Street 1:227 US HWY NORTH
Practice Address - Street 2:221
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870
Practice Address - Country:US
Practice Address - Phone:407-580-5933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104215400Medicaid