Organization Active NPI

Achievement Academy, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Lakeland, FL
National Provider Identifier
1053466862
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ACHIEVEMENT ACADEMY, INC.
Practice address
716 E Bella Vista St
Lakeland, FL 33805-3009
Phone
(863) 683-6504
Fax
(863) 688-9292
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Paula J. Sullivan
Title
Executive Director
Phone
(863) 683-6504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

716 E Bella Vista St
Lakeland, FL 33805-3009

Mailing address

716 E Bella Vista St
Lakeland, FL 33805-3009
Phone (863) 683-6504

Other identifiers 1

IdentifierTypeStateIssuer
811515000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Achievement Academy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053466862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E BELLA VISTA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053009",
            "telephone_number": "863-683-6504",
            "fax_number": "863-688-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E BELLA VISTA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053009",
            "telephone_number": "863-683-6504",
            "fax_number": "863-688-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVEMENT ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "863-683-6504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811515000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.