Suncoast New Options Frederick Avenue, LLC
NPI 1528640166ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Daytona Beach, FL
Intermediate Care Facility, Intellectual Disabilities in Daytona Beach, Florida, registered in NPPES in April 2021. The authorized official on file is Mary Johns Benson, Director Of Billing.
Overview
| NPI | 1528640166 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2021 |
| Last updated in NPPES | Apr 23, 2021 |
| Certified by provider | Apr 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Intermediate Care Facility, Intellectual Disabilities providers in Daytona Beach
- 1285591115
- 1295907012
- 1386712875
- 1609202829
- 1972856011
All Intermediate Care Facility, Intellectual Disabilities providers in Florida