Active NPI
Columbia County Senior Services
- Case Management Agency
- Lake City, FL
National Provider Identifier
1225239429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COLUMBIA COUNTY SENIOR SERVICES
- Practice address
- 628 SE Allison CT
Lake City, FL 32025-6101 - Phone
- (386) 755-0235
- Fax
- (386) 752-8256
- NPI assigned
- May 29, 2007
- Last updated
- Sep 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah B. Freeman
- Title
- Executive Director
- Phone
- (386) 755-0235
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Home Delivered Meals | 332U00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
628 SE Allison CT
Lake City, FL 32025-6101
Mailing address
PO Box 1772
Lake City, FL 32056-1772
Phone (386) 755-0235
National Provider Directory
National Provider Directory- Tax ID family
- Columbia County Senior Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Lake City, FL
- NPI 1528794732
Locations
628 SE Allison Ct
Lake City, FL 32025
Phone (386) 755-0235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284076800000",
"number": "1225239429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1772",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320561772",
"telephone_number": "386-755-0235",
"fax_number": "386-752-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 SE ALLISON CT",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320256101",
"telephone_number": "386-755-0235",
"fax_number": "386-752-8256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA COUNTY SENIOR SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2010-09-10",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "386-755-0235",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.