Provider Demographics
NPI:1922699818
Name:HOMESTEAD MENTAL HEALTH COMMUNITY INC
Entity Type:Organization
Organization Name:HOMESTEAD MENTAL HEALTH COMMUNITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGENT CASABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-397-2400
Mailing Address - Street 1:15600 SW 288TH ST STE 203-205
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1243
Mailing Address - Country:US
Mailing Address - Phone:786-397-2400
Mailing Address - Fax:
Practice Address - Street 1:15600 SW 288TH ST STE 203-205
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1243
Practice Address - Country:US
Practice Address - Phone:786-397-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health