NPIMap

Organization Active NPI

Community Resource Network of Florida, LLC

  • Developmentally Disabled Services Day Training Agency
  • Daytona Beach, FL
National Provider Identifier
1396684130
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COMMUNITY RESOURCE NETWORK OF FLORIDA, LLC
Practice address
700 Fentress Blvd Unit C
Daytona Beach, FL 32114-1287
Phone
(239) 415-7400
NPI assigned
Mar 26, 2026
Organization subpart
Yes
Parent organization
COMMUNITY RESOURCE NETWORK OF FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Lisa Jerome
Title
Director of Operations
Phone
(239) 247-2041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

700 Fentress Blvd Unit C
Daytona Beach, FL 32114-1287

Mailing address

700 Fentress Blvd Unit C
Daytona Beach, FL 32114-1287
Phone (239) 415-7400

National Provider Directory

National Provider Directory
Tax ID family
Community Resource Network of Florida LLC5 organizations share this tax ID, including this one
Part of
Community Resource Network of Florida LLC

Other organizations with this tax ID 4

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

Locations

700 Fentress Blvd
Unit C
Daytona Beach, FL 32114
Phone (239) 415-7400

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1396684130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FENTRESS BLVD UNIT C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141287",
            "telephone_number": "239-415-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FENTRESS BLVD UNIT C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141287",
            "telephone_number": "239-415-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESOURCE NETWORK OF FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY RESOURCE NETWORK OF FLORIDA, LLC",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "239-247-2041"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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, 2026; 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.