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NPISignal

Individual Healthcare Provider

Tina Marie Flannery

NPI Record: ActiveCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
NPI1760332605
Fruitland Park, Florida

Provider's NPPES record last updated: February 2, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1760332605
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice Location
Fruitland Park, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 7:25 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

    Residential Treatment Facilities

    Primary

    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

    Taxonomy code 320900000X

Provider-Reported License Information

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Florida)
13002335A
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Florida)
13002472
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Florida)
13002433
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Florida)
13002471
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Florida)
13002375A
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Florida)
13002179A
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

5345 Twin Palms Rd

Fruitland Park, Florida 34731-6050

Phone: (352) 460-7009

Additional Practice Location

5151 Twin Palms Rd

Fruitland Park, Florida 34731-4904

Phone: (352) 460-7009

Fax: (352) 504-0233

Additional Practice Location

1050 Sw 66th Pl

Bushnell, Florida 33513-3588

Phone: (352) 460-7009

Fax: (352) 504-0233

Additional Practice Location

218 W Dade Ave

Bushnell, Florida 33513-5424

Phone: (352) 460-7009

Fax: (352) 504-0233

Additional Practice Location

603 Newell Hill Rd Fl USA

Leesburg, Florida 34748-9629

Phone: (352) 460-7009

Fax: (352) 504-0233

Additional Practice Location

405 Oakwood Ln

Fruitland Park, Florida 34731-2330

Phone: (352) 460-7009

Fax: (352) 504-0233

Record Information

Enumeration Date
January 30, 2026
Provider's NPPES Record Last Updated
February 2, 2026
Certification Date
February 2, 2026
NPISignal NPPES Dataset
August 2026

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