Organization Active NPI

Gadsden Senior Services

  • In Home Supportive Care Agency
  • Quincy, FL
National Provider Identifier
1023204690
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GADSDEN SENIOR SERVICES
Practice address
79 Lasalle Lefall Drive
Quincy, FL 32351
Phone
(850) 627-9758
Fax
(850) 875-4524
NPI assigned
Sep 18, 2007
Last updated
Jul 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Stacey Hannigon
Title
Executive Director
Phone
(850) 627-9758

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 229305 FL
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

79 Lasalle Lefall Drive
Quincy, FL 32351

Mailing address

79 Lasalle Leffal Drive
Quincy, FL 32351
Phone (850) 627-9785

Other identifiers 1

IdentifierTypeStateIssuer
020827800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1023204690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 LASALLE LEFFAL DRIVE",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "32351",
            "telephone_number": "850-627-9785",
            "fax_number": "850-875-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 LASALLE LEFALL DRIVE",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "32351",
            "telephone_number": "850-627-9758",
            "fax_number": "850-875-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "HANNIGON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-627-9758",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "229305",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020827800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.