Organization Active NPI

Optimum Care & Training

  • Developmentally Disabled Services Day Training Agency
  • Orange Park, FL
National Provider Identifier
1306212154
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
OPTIMUM CARE & TRAINING
Practice address
2776 Rosebay Dr
Orange Park, FL 32065-5846
Phone
(904) 207-0195
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Mrs. Kristie Moore Daniel
Title
Ceo
Phone
(904) 207-0195

Specialties & licenses 1

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

Addresses

Primary practice location

2776 Rosebay Dr
Orange Park, FL 32065-5846

Mailing address

2776 Rosebay Dr
Orange Park, FL 32065-5846
Phone (904) 207-0195

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1306212154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 ROSEBAY DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655846",
            "telephone_number": "904-207-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 ROSEBAY DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655846",
            "telephone_number": "904-207-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CARE & TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-207-0195",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.