NPIMap

Organization Active NPI

Chelsea Place Adult Day Care LLC

Doing business as ActivAge At Chelsea Place

  • Adult Day Care Clinic/Center
  • Port Charlotte, FL
National Provider Identifier
1205340817
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9400 Issued in FL
Legal business name
CHELSEA PLACE ADULT DAY CARE LLC
Doing business as
ActivAge At Chelsea Place
Practice address
3626 Tamiami TRL
Port Charlotte, FL 33952-8243
Phone
(941) 883-6600
Fax
(941) 883-6601
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Amber Simpson
Title
Account Manager
Phone
(941) 676-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9400 FL Primary

Addresses

Primary practice location

3626 Tamiami TRL
Port Charlotte, FL 33952-8243

Mailing address

3626 Tamiami TRL
Port Charlotte, FL 33952-8243
Phone (941) 883-6600

Other names 1

  • ActivAge At Chelsea Place Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1205340817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528243",
            "telephone_number": "941-883-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528243",
            "telephone_number": "941-883-6600",
            "fax_number": "941-883-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA PLACE ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "941-676-3411"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActivAge At Chelsea Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.