NPIMap

Organization Active NPI

Jackson County Association for Retarded Citizens, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Marianna, FL
National Provider Identifier
1295921146
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
F006 Issued in FL
Legal business name
JACKSON COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Practice address
2973 Pennsylvania Ave
Marianna, FL 32448-2713
Phone
(850) 526-7333
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Frances Henderson
Title
Executive Director
Phone
(850) 526-7333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X F006 FL Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X F006 FL

Addresses

Primary practice location

2973 Pennsylvania Ave
Marianna, FL 32448-2713

Mailing address

2973 Pennsylvania Ave
Marianna, FL 32448-2713
Phone (850) 526-7333

National Provider Directory

National Provider Directory

Locations

2973 Penn Ave
Marianna, FL 32448
Phone (850) 526-7333

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295921146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 PENNSYLVANIA AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324482713",
            "telephone_number": "850-526-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 PENNSYLVANIA AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324482713",
            "telephone_number": "850-526-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-526-7333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "F006",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "F006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.