Provider Type Icon

PROCARE4LIFE NPI 1417629742


NPI Information

NPI: 1417629742
Provider Name: PROCARE4LIFE
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
121 VILLAVISTA CT
DAVENPORT, FL
ZIP 33896
Phone: (813) 458-5371
Get Directions

PROCARE4LIFE is a developmental disabilities clinic center in Davenport, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). PROCARE4LIFE NPI is 1417629742. The provider is registered as an organization entity type.

The provider's business location address is:

121 VILLAVISTA CT
DAVENPORT, FL
ZIP 33896-638
Phone: (813) 458-5371
Fax: (888) 522-0011

The provider's authorized official is Brenda B Coghiel .
The authorized official title is Owner and has the following contact phone number (813) 458-5371.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.


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
1251J00000XNursing CareNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.