Kathleen Anderson Comprehensive Work Center Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

002 Issued in FL

Legal business name

KATHLEEN ANDERSON COMPREHENSIVE WORK CENTER INC

Doing business as

Seminole Work Opportunity Program

Practice address

1095 Belle Ave
Casselberry, FL 32708-2961

Phone

(407) 699-4419

Fax

(407) 699-7967

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. William Harry Poe

Title

Executive Director

Phone

(407) 699-4419

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Seminole Work Opportunity Program Doing business as

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225338502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 BELLE AVE",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327082961",
            "telephone_number": "407-699-4419",
            "fax_number": "407-699-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 BELLE AVE",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327082961",
            "telephone_number": "407-699-4419",
            "fax_number": "407-699-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN ANDERSON COMPREHENSIVE WORK CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-699-4419",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED WAIVER PROVIDER",
            "identifier": "024209898",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MED WAIVER PROVIDER",
            "identifier": "024209896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seminole Work Opportunity Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.