Organization Active NPI

Prodigal Daughters Journey Home, Inc.

  • Community/Behavioral Health Agency
  • Sarasota, FL
National Provider Identifier
1043885189
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRODIGAL DAUGHTERS JOURNEY HOME, INC.
Practice address
365 Braden Ave
Sarasota, FL 34243-2021
Phone
(845) 551-2124
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Anthony Charles Drake
Title
Director of Outreach
Phone
(941) 350-0652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

365 Braden Ave
Sarasota, FL 34243-2021

Mailing address

365 Braden Ave
Sarasota, FL 34243-2021
Phone (845) 551-2124

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1043885189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BRADEN AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432021",
            "telephone_number": "845-551-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BRADEN AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432021",
            "telephone_number": "845-551-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGAL DAUGHTERS JOURNEY HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR OF OUTREACH",
        "authorized_official_telephone_number": "941-350-0652"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.