Organization Active NPI

After Care Center of Florida at Holiday LLC

  • Chiropractor
  • Holiday, FL
National Provider Identifier
1235545344
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7280 Issued in FL
Legal business name
AFTER CARE CENTER OF FLORIDA AT HOLIDAY LLC
Practice address
1812 US Highway 19
Holiday, FL 34691-5535
Phone
(727) 943-0300
Fax
(727) 943-0339
NPI assigned
Jul 9, 2014
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Miss Donna Borgia
Title
Administrator
Phone
(727) 943-0300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9101542 FL
Acute Care Nurse Practitioner 363LA2100X ARNP9196368 FL
Chiropractor 111N00000X CH7280 FL Primary

Addresses

Primary practice location

1812 US Highway 19
Holiday, FL 34691-5535

Mailing address

1812 US Highway 19
Holiday, FL 34691-5535
Phone (727) 943-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141017000144 FL Part B Supplier - Clinic/Group Practice 8820219793 Receives reassigned benefits from 3 practitioners
Practice locations: Trinity, FL

National Provider Directory

National Provider Directory

Locations

8142 Bellarus Way
Ste 104
Trinity, FL 34655
Phone (727) 202-1303

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1235545344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346915535",
            "telephone_number": "727-943-0300",
            "fax_number": "727-943-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346915535",
            "telephone_number": "727-943-0300",
            "fax_number": "727-943-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTER CARE CENTER OF FLORIDA AT HOLIDAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "BORGIA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-943-0300",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101542",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9196368",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.