SENIOR RESOURCE ASSOCIATION INC NPI 1881966646

NPI Information

  • NPI: 1881966646
  • Provider Name: SENIOR RESOURCE ASSOCIATION, INC
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Former Legal Business Name: COUNCIL ON AGING OF IRC
  • CLIA Number: 10D2061707
  • Address: 686 14TH STREET
    VERO BEACH, FL, FL
    ZIP 32960
  • Phone: (772) 569-0760

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NPI Details

SENIOR RESOURCE ASSOCIATION, INC is an adult day care clinic center in Vero Beach, Fl, FL. SENIOR RESOURCE ASSOCIATION, INC NPI is 1881966646. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Council On Aging Of Irc.

The provider's business location address is:

686 14TH STREET
VERO BEACH, FL, FL
ZIP 32960-770
Phone: (772) 569-0760
Fax: (772) 778-7272

The provider's authorized official is Karen Deigl .
The authorized official title is Ceo & President and has the following contact phone number (772) 569-0760.

The CLIA number assigned to this NPI record is 10D2061707 - other - adult day care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2012 and was last updated on 8/23/2024.

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
1261QA0600XClinic/CenterAdult Day CareYes
2332U00000XHome Delivered MealsNo
3343900000XNon-emergency Medical Transport (VAN)No
43747A0650XTechnicianAttendant Care ProviderNo

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
1024915700MEDICAIDFLORIDA
206754600MEDICAIDFLORIDA
3024915701MEDICAIDFLORIDA
40877484007MEDICAIDFLORIDA

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: 11/21/2025

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