Organization Active NPI

Lavie Adult Day Center

  • Adult Day Care Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1174195135
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LAVIE ADULT DAY CENTER
Practice address
2529 Prest CT
Tallahassee, FL 32301-0800
Phone
(850) 274-5150
NPI assigned
Jul 10, 2021
Last updated
Jul 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

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

Authorized official

Name
Ms. Raven Symone Jackson
Title
Ceo
Phone
(850) 274-5150

Specialties & licenses 1

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

Addresses

Primary practice location

2529 Prest CT
Tallahassee, FL 32301-0800

Mailing address

1969 S Alafaya TRL # 140
Orlando, FL 32828-8732
Phone (850) 274-5150

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rjackson@aveshco.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625875200000",
    "number": "1174195135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 S ALAFAYA TRL # 140",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288732",
            "telephone_number": "850-274-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 PREST CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323010800",
            "telephone_number": "850-274-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVIE ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_middle_name": "SYMONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-274-5150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjackson@aveshco.com",
            "affiliation": "N",
            "address_1": "1969 S Alafaya Trl # 140",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328288732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.