Center for Aging and Rehabilitation of Davenport Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CENTER FOR AGING AND REHABILITATION OF DAVENPORT INC

Practice address

206 W Orange St
Davenport, FL 33837-3118

Phone

(863) 422-4961

Fax

(863) 422-1707

NPI assigned

Feb 5, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Mary Anne Wood

Title

Manager

Phone

(954) 367-4597

Specialties & licenses 1

Addresses

Other names 1

• Davenport Care Center Doing business as

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1033701628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 POWERLINE RD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095917",
            "telephone_number": "954-367-4597",
            "fax_number": "954-367-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W ORANGE ST",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373118",
            "telephone_number": "863-422-4961",
            "fax_number": "863-422-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AGING AND REHABILITATION OF DAVENPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-367-4597",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davenport Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davenport Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priscila Cedillo, ARNP
• Celebration Obstetrics and Gynecology Associates PA
• Celestial Home Care Services LLC
• Carmen Celestrin Vina
• Neika Celise-Thomas
• Central Florida Cancer Institute PA
• Central Florida Health Care, Inc
• Central Florida Health Care, Inc
• Central Florida Health Care, Inc.
• Central Florida Health Care, Inc.

• Skilled Nursing Facility in Davenport, FL
• Providers in Davenport, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.