Time Out Respite Care, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

089079 Issued in FL

Legal business name

TIME OUT RESPITE CARE, INC.

Practice address

24246 Harborview Rd
Port Charlotte, FL 33980-2232

Phone

(941) 743-3883

Fax

(941) 743-4369

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Christina Hartzell

Title

Administrator

Phone

(941) 743-3883

Specialties & licenses 4

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1265735179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24246 HARBORVIEW RD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802232",
            "telephone_number": "941-743-3883",
            "fax_number": "941-743-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24246 HARBORVIEW RD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802232",
            "telephone_number": "941-743-3883",
            "fax_number": "941-743-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME OUT RESPITE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "HARTZELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-743-3883",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "089079",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "089079",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "089079",
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "FL",
            "license": "089079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347800000X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251C00000X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385H00000X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253200000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith A Tiberia, ARNP
• Grace Diana Tice, PA-C
• Lisette Tiel Bermudez
• James H Tietsworth, M.D.
• Edward Francis Tilson, PH.D.
• Candace Timmons, RPH
• Madelyn Grace Tiu, PA-C
• Janet M Tobin, MD PA
• Jed Dellumes Toboso, PT
• Todd B Lang OD PA

• Non-emergency Medical Transport (VAN) in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.