NPIMap

Organization Active NPI

Endless Abilities for Children With Disabilities Inc.

  • Nursing Care Agency
  • Bartow, FL
National Provider Identifier
1194216127
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
ENDLESS ABILITIES FOR CHILDREN WITH DISABILITIES INC.
Practice address
190 S LB Brown Ave
Bartow, FL 33830-4901
Phone
(863) 205-1624
Fax
(863) 537-6135
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Resheka Harris
Title
Ceo
Phone
(863) 205-1624

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X FL

Addresses

Primary practice location

190 S LB Brown Ave
Bartow, FL 33830-4901

Mailing address

PO Box 1712
Bartow, FL 33831-1712
Phone (863) 205-1624

Other identifiers 1

IdentifierTypeStateIssuer
024998400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Endless Abilities for Children With Disabilities Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1194216127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1712",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338311712",
            "telephone_number": "863-205-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S LB BROWN AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304901",
            "telephone_number": "863-205-1624",
            "fax_number": "863-537-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDLESS ABILITIES FOR CHILDREN WITH DISABILITIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RESHEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-205-1624"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024998400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.