Active NPI
Optimum Care & Training
- Developmentally Disabled Services Day Training Agency
- Orange Park, FL
National Provider Identifier
1306212154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.