NPIMap

Organization Active NPI

Specialty Care Services Inc

  • Adult Day Care Clinic/Center
  • Gainesville, FL
National Provider Identifier
1083178412
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SPECIALTY CARE SERVICES INC
Practice address
701 SE 43Rd St
Gainesville, FL 32641-7665
Phone
(352) 209-2431
Fax
(215) 559-6336
NPI assigned
Jan 30, 2019
Organization subpart
Yes
Parent organization
SPECIALTY CARE SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Edward Jerome Porter, RN
Title
Director
Phone
(352) 258-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

701 SE 43Rd St
Gainesville, FL 32641-7665

Mailing address

PO Box 483
Ocala, FL 34478-0483
Phone (352) 258-4015

Other identifiers 1

IdentifierTypeStateIssuer
016981800MedicaidFL

Other names 1

  • Specialty Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Specialty Care Services Inc5 organizations share this tax ID, including this one
Part of
Specialty Care Services Inc

Other organizations with this tax ID 4

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

Locations

701 SE 43rd St
Gainesville, FL 32641
Phone (352) 209-2431

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1083178412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344780483",
            "telephone_number": "352-258-4015",
            "fax_number": "215-559-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SE 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326417665",
            "telephone_number": "352-209-2431",
            "fax_number": "215-559-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY CARE SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALTY CARE SERVICES INC",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-258-4015",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016981800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 30, 2019; 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.