Organization Active NPI

Holiday Quality Care Services Inc.

  • Developmentally Disabled Services Day Training Agency
  • Loxahatchee, FL
National Provider Identifier
1164722211
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
676963296 Issued in FL
Legal business name
HOLIDAY QUALITY CARE SERVICES INC.
Practice address
17270 89TH PL N
Loxahatchee, FL 33470-1744
Phone
(561) 784-7414
Fax
(561) 791-3211
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Mrs. Judy Diane Holiday
Title
C.Eo./Waiver Support Coordinator
Phone
(561) 784-7414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 676963296 FL Primary

Addresses

Primary practice location

17270 89TH PL N
Loxahatchee, FL 33470-1744

Mailing address

17270 89TH PL N
Loxahatchee, FL 33470-1744
Phone (561) 784-7414

Other identifiers 6

IdentifierTypeStateIssuer
751580496MedicaidFL
751580498MedicaidFL
676963268MedicaidFL
751580468MedicaidFL
676963296MedicaidFL
676963298MedicaidFL

Other names 1

  • Judy Holiday Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1164722211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17270 89TH PL N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334701744",
            "telephone_number": "561-784-7414",
            "fax_number": "561-791-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 89TH PL N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334701744",
            "telephone_number": "561-784-7414",
            "fax_number": "561-791-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY QUALITY CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "HOLIDAY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "C.EO./WAIVER SUPPORT  COORDINATOR",
        "authorized_official_telephone_number": "561-784-7414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "676963296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751580496",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751580498",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676963268",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751580468",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676963296",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676963298",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Judy Holiday",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.