Active NPI
Holiday Quality Care Services Inc.
- Developmentally Disabled Services Day Training Agency
- Loxahatchee, FL
National Provider Identifier
1164722211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 676963296
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 751580496 | Medicaid | FL | |
| 751580498 | Medicaid | FL | |
| 676963268 | Medicaid | FL | |
| 751580468 | Medicaid | FL | |
| 676963296 | Medicaid | FL | |
| 676963298 | Medicaid | FL |
Other names 1
- Judy Holiday
National Provider Directory
National Provider DirectoryNPI 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.