COMMUNITY AGING & RETIREMENT SERVICES INC NPI 1215338751

NPI Information

NPI: 1215338751
Provider Name: COMMUNITY AGING & RETIREMENT SERVICES, INC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 10D2291279

Address:
1205 WALLER ST
PLANT CITY, FL
ZIP 33563
Phone: (727) 862-9291
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COMMUNITY AGING & RETIREMENT SERVICES, INC is an adult day care clinic center in Plant City, FL. COMMUNITY AGING & RETIREMENT SERVICES, INC NPI is 1215338751. The provider is registered as an organization entity type.

The provider's business location address is:

1205 WALLER ST
PLANT CITY, FL
ZIP 33563-407
Phone: (727) 862-9291

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 CLIA number assigned to this NPI record is 10D2291279 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2014 and was last updated on 9/18/2014.

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	370	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	099897405	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: 5/5/2024

NPI Synchronization or Removal

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