Tallahassee Developmental Center
NPI 1609875160ActiveOrganization· Intermediate Care Facility, Mental Illness· Tallahassee, FL
Intermediate Care Facility, Mental Illness in Tallahassee, Florida, registered in NPPES in July 2005. The authorized official on file is Fred Jiminez, Program Services Director.
Overview
| NPI | 1609875160 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Mental Illness Primary | 310500000X | 4096096 | FL |
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 |
|---|
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