John Bird Community Supports

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

000992300 Issued in FL

Legal business name

JOHN BIRD COMMUNITY SUPPORTS

Practice address

4788 253Rd St E
Myakka City, FL 34251-8956

Phone

(941) 920-1533

Fax

(941) 362-9798

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Linda Ierene Flores

Title

Vice President

Phone

(941) 685-9684

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1184925752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4788 253RD ST E",
            "city": "MYAKKA CITY",
            "state": "FL",
            "postal_code": "342518956",
            "telephone_number": "941-920-1533",
            "fax_number": "941-362-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4788 253RD ST E",
            "city": "MYAKKA CITY",
            "state": "FL",
            "postal_code": "342518956",
            "telephone_number": "941-920-1533",
            "fax_number": "941-362-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BIRD COMMUNITY SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "IERENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "941-685-9684",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "000992300",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "000992301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "000992300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID SMALL WAIVER",
            "identifier": "000992301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Myakka City, FL
• Providers in Myakka City, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.