Organization Active NPI

Ici

  • Developmentally Disabled Services Day Training Agency
  • Gainesville, FL
National Provider Identifier
1306142864
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ICI
Practice address
9462 SW 31St LN
Gainesville, FL 32608-7921
Phone
(352) 222-8968
NPI assigned
Feb 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Svetlana Korotkevich
Title
Reg Agent
Phone
(352) 222-8968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

9462 SW 31St LN
Gainesville, FL 32608-7921

Mailing address

9462 SW 31St LN
Gainesville, FL 32608-7921
Phone (352) 222-8968

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1306142864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 SW 31ST LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087921",
            "telephone_number": "352-222-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9462 SW 31ST LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087921",
            "telephone_number": "352-222-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "KOROTKEVICH",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "REG AGENT",
        "authorized_official_telephone_number": "352-222-8968"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 1, 2011; 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.