Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Westside Group Home, Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1588967723

Westside Group Home, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2602 43rd St W
Bradenton, FL 34209-6212
Phone: (941) 795-1084
Fax: (941) 792-0385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 3209000000X (FL)

Record details

NPI number1588967723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iliana Stokes — Psd · (941) 794-5759
NPI enumeratedDecember 9, 2010
Last updated in NPPESDecember 9, 2010
Mailing address6304 1st Ave W, Bradenton, FL 34209-2331

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