Organization
NETTIE MAE BERRY FOUNDATION LLC
Active
Organization
NETTIE MAE BERRY FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANDRA LAMIKIA SIMMONS (CEO)
(352) 258-3450
Entity
Organization
Contact information
Practice address
901 NW 8TH AVE STE A2, GAINESVILLE, FL 32601-5000
(352) 258-3450
(352) 379-5502
Mailing address
PO BOX 358774, GAINESVILLE, FL 32635-8774
(352) 258-3450
(352) 379-5502
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/24/2022
Last updated
09/03/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up