Organization Active NPI

Elder Care of Alachua County Inc.

  • Home Health Agency
  • Gainesville, FL
National Provider Identifier
1245538719
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5638 Issued in FL
Legal business name
ELDER CARE OF ALACHUA COUNTY INC.
Practice address
5701 NW 34TH Blvd
Gainesville, FL 32653-2015
Phone
(352) 265-9040
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Authorized official

Name
Mr. Anthony Mark Clarizio
Title
Executive Director
Phone
(352) 265-0789

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5638 FL Primary
Respite Care 385H00000X 9149 FL

Addresses

Primary practice location

5701 NW 34TH Blvd
Gainesville, FL 32653-2015

Mailing address

5701 NW 34TH Blvd
Gainesville, FL 32653-2015
Phone (352) 265-9040

Other identifiers 2

IdentifierTypeStateIssuer
025079100MedicaidFL
025079102MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Elder Care of Alachua County Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5701 NW 34th Blvd
Gainesville, FL 32653
Phone (352) 265-9040

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1245538719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 NW 34TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532015",
            "telephone_number": "352-265-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 NW 34TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532015",
            "telephone_number": "352-265-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CARE OF ALACHUA COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "CLARIZIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "352-265-0789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "5638",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "9149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025079100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025079102",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.