OrganizationActive
Joseph Storehouse of Florida Restoration Center
NPI 1043523392 · Mental Illness Community Based Residential Treatment Facility · Bradenton, FL
Provider details
- NPI number
- 1043523392
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Alphonso Davis, Ceo/Liason(941) 708-3030
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 1258AD488301 (FL)
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1027 9th St W
Bradenton, FL 34205-7330
Phone: (941) 708-3030
Fax: (941) 708-3838
Street-level locationGet directions
Mailing address
1027 9th St W
Bradenton, FL 34205-7330
Other names (DBA / former)
- Doing business as
- Consuming Fire Deliverance Inc
Registry dates
- Enumerated
- 2010-07-15
- Last updated
- 2010-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.