NPIMap

Organization Active NPI

Terrace of Daytona Beach

  • Assisted Living Facility
  • Daytona Beach, FL
National Provider Identifier
1154374569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9387 Issued in FL
Legal business name
TERRACE OF DAYTONA BEACH
Practice address
1704 Huntington Village Cir
Daytona Beach, FL 32114-1484
Phone
(386) 255-6571
Fax
(386) 254-1949
NPI assigned
May 18, 2006
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
Ms. Donna Marsh
Title
Ceo
Phone
(386) 255-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9387 FL Primary

Addresses

Primary practice location

1704 Huntington Village Cir
Daytona Beach, FL 32114-1484

Mailing address

1265 W Granada Blvd
Suite 4
Ormond Beach, FL 32174-8111
Phone (386) 255-1054

National Provider Directory

National Provider Directory
Tax ID family
Terrace of Daytona Beach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154374569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 W GRANADA BLVD",
            "address_2": "SUITE 4",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748111",
            "telephone_number": "386-255-1054",
            "fax_number": "386-673-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 HUNTINGTON VILLAGE CIR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141484",
            "telephone_number": "386-255-6571",
            "fax_number": "386-254-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE OF DAYTONA BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-255-1054",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, 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.