Provider Demographics
NPI:1235879453
Name:SDR HOMES LLC
Entity type:Organization
Organization Name:SDR HOMES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:REEVES
Authorized Official - Last Name:FINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, EMT-P
Authorized Official - Phone:727-278-4014
Mailing Address - Street 1:2801 2ND AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-1003
Mailing Address - Country:US
Mailing Address - Phone:727-278-4014
Mailing Address - Fax:
Practice Address - Street 1:10236 ALDER GREEN DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-6283
Practice Address - Country:US
Practice Address - Phone:727-278-4014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SDR HOMES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-29
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities