Active NPI
Prodigal Daughters Journey Home, Inc.
- Community/Behavioral Health Agency
- Sarasota, FL
National Provider Identifier
1043885189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Slate Hill, NY
- NPI 1881954428
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
- Prizm Medical Inc
- Pro Health Family Center
- Pro Home Medical Equipment, Inc.
- Theodore G Probst, MD
- Kimberly Suzanne Probus-Clark, P.T.
- Terry Shannon Proeger, PHD
- Professional Counseling Centers
- Professional Medical Rehabilitation Inc.
- Progressive Rehabilitation Agency, Inc.
- Progressive Taxi Services LLC
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.