Tri-City Adult Day Care, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

TRI-CITY ADULT DAY CARE, INC.

Doing business as

Tri-City Nurse Registry

Practice address

2046 Classique LN
Tavares, FL 32778-5787

Phone

(352) 609-5147

Fax

(352) 388-3145

NPI assigned

Oct 11, 2023

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dillia Donna Squires

Title

Administrator

Phone

(352) 609-5147

Specialties & licenses 8

Addresses

Other names 1

• Tri-City Nurse Registry Doing business as

Tax ID family

Tri-City Adult Day Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tri-City Adult Day Care, Inc.

  dba Tri-City Home Care Inc

  • Attendant Care Provider
  • Eustis, FL
  • NPI 1366041899
  NPD tax ID
• Tri-City Adult Day Care, Inc.

  • Adult Day Care Clinic/Center
  • Tavares, FL
  • NPI 1962030338
  NPD tax ID

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1336920610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 CLASSIQUE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785787",
            "telephone_number": "352-609-5147",
            "fax_number": "352-388-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 CLASSIQUE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785787",
            "telephone_number": "352-609-5147",
            "fax_number": "352-388-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "DILLIA",
        "authorized_official_middle_name": "DONNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-609-5147"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-City Nurse Registry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cyndee Torgler-Bandy
• Feras Toumeh, M.D.
• Kim Phung Tran-Bardell
• Dan Nicolas Tran, MD
• Treasured Hearts Lab Services LLC
• Tri-City Adult Day Care, Inc.
• Triad Psychological Services, P.a.
• Tru3 Laboratory LLC
• David Truong, DMD
• Mary L Tucker

• Nursing Care Agency in Tavares, FL
• Providers in Tavares, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.