Organization Active NPI

Okeechobee Senior Services

  • Case Management Agency
  • Okeechobee, FL
National Provider Identifier
1073946570
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OKEECHOBEE SENIOR SERVICES
Practice address
1690 NW 9TH Ave
Okeechobee, FL 34972-4340
Phone
(863) 462-5180
Fax
(863) 462-5184
NPI assigned
Aug 20, 2013
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
BOARD OF COUNTY COMMISIONERS OF OKEECHOBEE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Wanda Klesper
Title
Program Manager
Phone
(863) 462-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1690 NW 9TH Ave
Okeechobee, FL 34972-4340

Mailing address

1690 NW 9TH Ave
Okeechobee, FL 34972-4340
Phone (863) 462-5180

Other identifiers 2

IdentifierTypeStateIssuer
088046903MedicaidFL
088046902MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Board of County Commissioners2 organizations share this tax ID, including this one
Part of
Board of County Commissioners

Other organizations with this tax ID 1

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

Locations

1690 NW 9th Ave
Okeechobee, FL 34972
Phone (863) 462-5180

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1073946570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 NW 9TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349724340",
            "telephone_number": "863-462-5180",
            "fax_number": "863-462-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 NW 9TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349724340",
            "telephone_number": "863-462-5180",
            "fax_number": "863-462-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEECHOBEE SENIOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF COUNTY COMMISIONERS OF OKEECHOBEE COUNTY",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "KLESPER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "863-462-5180"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088046903",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088046902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.