COMMUNITY AGING & RETIREMENT SERVICES INC NPI 1063803880

NPI Information

NPI: 1063803880
Provider Name: COMMUNITY AGING & RETIREMENT SERVICES, INC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
3940 CANOGA PARK DR
BRANDON, FL
ZIP 33511
Phone: (813) 330-7964
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COMMUNITY AGING & RETIREMENT SERVICES, INC is an adult day care clinic center in Brandon, FL. COMMUNITY AGING & RETIREMENT SERVICES, INC NPI is 1063803880. The provider is registered as an organization entity type.

The provider's business location address is:

3940 CANOGA PARK DR
BRANDON, FL
ZIP 33511
Phone: (813) 330-7964

The provider's authorized official is William Aycrigg .
The authorized official title is Chief Executive Officer and has the following contact phone number (727) 862-9291.

The enumeration date for this NPI number is 2/16/2015 and was last updated on 2/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	9288	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00000000	OTHER		APPLYING FOR MEDICAID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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