SPECIALTY CARE SERVICES INC NPI 1083178412

NPI Information

NPI: 1083178412
Provider Name: SPECIALTY CARE SERVICES INC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
701 SE 43RD ST
GAINESVILLE, FL
ZIP 32641
Phone: (352) 209-2431
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SPECIALTY CARE SERVICES INC is an adult day care clinic center in Gainesville, FL. SPECIALTY CARE SERVICES INC NPI is 1083178412. The provider is registered as an organization entity type.

The provider's business location address is:

701 SE 43RD ST
GAINESVILLE, FL
ZIP 32641-665
Phone: (352) 209-2431
Fax: (215) 559-6336

The provider's authorized official is Edward Jerome Porter .
The authorized official title is Director and has the following contact phone number (352) 258-4015.

The enumeration date for this NPI number is 1/30/2019 and was last updated on 1/30/2019.

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			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	016981800	MEDICAID	FLORIDA

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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