Organization Active NPI

Disability Solutions for Independent Living, Inc.

  • Case Management Agency
  • Daytona Beach, FL
National Provider Identifier
1245598317
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DISABILITY SOLUTIONS FOR INDEPENDENT LIVING, INC.
Practice address
119 S Palmetto Ave
Suite 180
Daytona Beach, FL 32114-4387
Phone
(386) 255-1812
Fax
(386) 255-1814
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Ms. Julie Miriam Shaw, EXEUTIVE DIRECTOR
Title
Executive Director
Phone
(386) 255-1812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

119 S Palmetto Ave
Suite 180
Daytona Beach, FL 32114-4387

Mailing address

119 S Palmetto Ave
Suite 180
Daytona Beach, FL 32114-4387
Phone (386) 255-1812

National Provider Directory

National Provider Directory

Locations

119 S Palmetto Ave
Ste 180
Daytona Beach, FL 32114
Phone (386) 255-1812

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1245598317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S PALMETTO AVE",
            "address_2": "SUITE 180",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144387",
            "telephone_number": "386-255-1812",
            "fax_number": "386-255-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S PALMETTO AVE",
            "address_2": "SUITE 180",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144387",
            "telephone_number": "386-255-1812",
            "fax_number": "386-255-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY SOLUTIONS FOR INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MIRIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-255-1812",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EXEUTIVE DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.