Provider Demographics
NPI:1578843884
Name:SPIRIT OF R&P LLC
Entity Type:Organization
Organization Name:SPIRIT OF R&P LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:REGINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIPPEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-684-5005
Mailing Address - Street 1:12361 CORONADO DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-4711
Mailing Address - Country:US
Mailing Address - Phone:352-684-5005
Mailing Address - Fax:
Practice Address - Street 1:12361 CORONADO DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-4711
Practice Address - Country:US
Practice Address - Phone:352-684-5005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-18
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities