Organization Active NPI

The Childrens Advocacy Center of Volusia & Flagler Counties

  • Community/Behavioral Health Agency
  • Daytona Beach, FL
National Provider Identifier
1386784429
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE CHILDRENS ADVOCACY CENTER OF VOLUSIA & FLAGLER COUNTIES
Practice address
1011 W International Speedway Blvd
Daytona Beach, FL 32114-3421
Phone
(386) 238-3830
Fax
(386) 257-7805
NPI assigned
Feb 7, 2007
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Mr. Reginald Williams
Title
Ceo
Phone
(386) 238-3830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1011 W International Speedway Blvd
Daytona Beach, FL 32114-3421

Mailing address

1011 W International Speedway Blvd
Daytona Beach, FL 32114-3421
Phone (386) 238-3830

Other identifiers 1

IdentifierTypeStateIssuer
811590700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Childrens Advocacy Center of Volusia Flagler County Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1011 W International Speedway Blvd
Daytona Beach, FL 32114
Phone (386) 238-3830

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1386784429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143421",
            "telephone_number": "386-238-3830",
            "fax_number": "386-257-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143421",
            "telephone_number": "386-238-3830",
            "fax_number": "386-257-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDRENS ADVOCACY CENTER OF VOLUSIA & FLAGLER COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-238-3830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811590700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.