Organization Active NPI

Gray Group L.L.C.

  • Developmentally Disabled Services Day Training Agency
  • Deltona, FL
National Provider Identifier
1184120776
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1-13-13430 Issued in FL
Legal business name
GRAY GROUP L.L.C.
Practice address
637 Spreading Oak Ave
Deltona, FL 32738
Phone
(386) 457-8159
NPI assigned
Apr 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Lynne M Murray-Gray, BCBANPI 1972826063
Title
Excutive Director
Phone
(386) 457-8159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Developmentally Disabled Services Day Training Agency 251C00000X 1-13-13430 FL Primary

Addresses

Primary practice location

637 Spreading Oak Ave
Deltona, FL 32738

Mailing address

637 Spreading Oak Ave
Deltona, FL 32738-9003
Phone (386) 457-8159

Other identifiers 1

IdentifierTypeStateIssuer
1977826063MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1184120776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 SPREADING OAK AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389003",
            "telephone_number": "386-457-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 SPREADING OAK AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "32738",
            "telephone_number": "386-457-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY GROUP L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "MURRAY-GRAY",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-457-8159",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "1-13-13430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1977826063",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.