Florida Access Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FLORIDA ACCESS CARE INC

Practice address

4805 Vilabella Dr
Sebring, FL 33872-2357

Phone

(863) 259-4322

Fax

(863) 259-4306

NPI assigned

May 22, 2020

Last updated

May 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edzard J Gabriel

Title

Administrator

Phone

(863) 259-4322

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1255954384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 VILABELLA DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722357",
            "telephone_number": "863-259-4322",
            "fax_number": "863-259-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 VILABELLA DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722357",
            "telephone_number": "863-259-4322",
            "fax_number": "863-259-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ACCESS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "EDZARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-259-4322"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "AL13459",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "863-259-4306",
            "affiliation": "N",
            "endpointDescription": "www.floridaaccesscare.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4805 Vilabella Dr",
            "city": "Sebring",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338722357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Sebring, FL
• Providers in Sebring, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.