Active NPI
Acute Care
- Nursing Care Agency
- Gainesville, FL
National Provider Identifier
1043973910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- ACUTE CARE
- Practice address
- 4170 SW 13TH St
Gainesville, FL 32608-4002 - Phone
- (352) 374-5600
- NPI assigned
- Oct 18, 2021
- Last updated
- Oct 18, 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
- Raven Mayes
- Title
- Ceo
- Phone
- (352) 792-8069
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | Primary | ||
| Public Health or Welfare Agency | 251K00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Ambulatory Family Planning Facility | 261QA0005X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Emergency Care Clinic/Center | 261QE0002X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| VA Clinic/Center | 261QV0200X | |||
| Bus | 347B00000X | |||
| Respite Care | 385H00000X | |||
| Child Mental Illness Respite Care | 385HR2055X |
Addresses
Primary practice location
4170 SW 13TH St
Gainesville, FL 32608-4002
Mailing address
PO Box 5393
Gainesville, FL 32627-5393
Phone (352) 792-8069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Acute Care
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Gainesville, FL
- NPI 1578228375
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1972065001
-
- Health Service Clinic/Center
- El Segundo, CA
- NPI 1639632763
-
- Early Intervention Provider Agency
- El Segundo, CA
- NPI 1043773179
Locations
4170 SW 13th St
Gainesville, FL 32608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634515200000",
"number": "1043973910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5393",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326275393",
"telephone_number": "352-792-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4170 SW 13TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326084002",
"telephone_number": "352-374-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACUTE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A",
"authorized_official_last_name": "MAYES",
"authorized_official_first_name": "RAVEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "352-792-8069"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0005X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Family Planning Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": null,
"license": null,
"primary": false
},
{
"code": "347B00000X",
"taxonomy_group": "",
"desc": "Bus",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.