Active NPI
Tri-City Adult Day Care, Inc.
- Attendant Care Provider
- Eustis, FL
National Provider Identifier
1366041899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- TRI-CITY ADULT DAY CARE, INC.
- Practice address
- 827 Vanderbilt Dr
Eustis, FL 32726-5251 - Phone
- (352) 217-7615
- NPI assigned
- Oct 26, 2020
- 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. Dillia Care Squires
- Title
- Ceo/Administrator
- Phone
- (352) 217-2176
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Attendant Care Provider | 3747A0650X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
827 Vanderbilt Dr
Eustis, FL 32726-5251
Mailing address
827 Vanderbilt Dr
Eustis, FL 32726-5251
Phone (352) 217-7615
Other names 1
- Tri-City Home Care Inc
National Provider Directory
National Provider Directory- Tax ID family
- Tri-City Adult Day Care Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Tavares, FL
- NPI 1336920610
-
- Adult Day Care Clinic/Center
- Tavares, FL
- NPI 1962030338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628380800000",
"number": "1366041899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 VANDERBILT DR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327265251",
"telephone_number": "352-217-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 VANDERBILT DR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327265251",
"telephone_number": "352-217-7615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-CITY ADULT DAY CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-26",
"last_updated": "2021-08-08",
"certification_date": "2021-08-08",
"status": "A",
"authorized_official_last_name": "SQUIRES",
"authorized_official_first_name": "DILLIA",
"authorized_official_middle_name": "CARE",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "352-217-2176",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri-City Home Care Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.