Healthcare Provider Details

I. General information

NPI: 1144946427
Provider Name (Legal Business Name): ACHIEVEMENT THERAPIES & CARE SERVICES, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 08/11/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 COLONIAL BLVD STE 102B
FORT MYERS FL
33907-1025
US

IV. Provider business mailing address

1500 COLONIAL BLVD STE 102B
FORT MYERS FL
33907-1025
US

V. Phone/Fax

Practice location:
  • Phone: 786-420-8999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ESTELA RODRIGUEZ CASTRO
Title or Position: CEO
Credential:
Phone: 786-420-8999