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OUTREACH COMMUNITY CARE NETWORK NPI 1962794917


NPI Information

NPI: 1962794917
Provider Name: OUTREACH COMMUNITY CARE NETWORK
Classification: Case Management - 251B00000X
Entity Type: Organization
Address:
240 N FREDERICK AVE
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 255-5569
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OUTREACH COMMUNITY CARE NETWORK is a case management in Daytona Beach, FL. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. OUTREACH COMMUNITY CARE NETWORK NPI is 1962794917. The provider is registered as an organization entity type.

The provider's business location address is:

240 N FREDERICK AVE
DAYTONA BEACH, FL
ZIP 32114-400
Phone: (386) 255-5569

The provider's authorized official is Loretta Jennings .
The authorized official title is Executive Director and has the following contact phone number (386) 255-5569.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 5/10/2011.


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
1251B00000XCase Management171M00000XFLORIDAYes

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
1800134861878011410N2MEDICAIDFLORIDA

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

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