Provider Demographics
NPI:1417108200
Name:REMENTIS HEALTH GROUP LLC
Entity Type:Organization
Organization Name:REMENTIS HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STTEVE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-883-9191
Mailing Address - Street 1:3600 PRESERVE LANE
Mailing Address - Street 2:
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32550-1855
Mailing Address - Country:US
Mailing Address - Phone:888-883-9191
Mailing Address - Fax:850-269-0621
Practice Address - Street 1:3600 PRESERVE LANE
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32550-1855
Practice Address - Country:US
Practice Address - Phone:888-883-9191
Practice Address - Fax:850-269-0621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NOT ASSIGNEDMedicare UPIN