Analine, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ANALINE, INC

Practice address

1515 Covered Bridge Dr
Deland, FL 32724-7990

Phone

(386) 734-4442

Fax

(386) 734-4153

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Ana Rosa Randolph, M.S, R.D., L.D.

Title

Administrator

Phone

(386) 734-4442

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SENDER RETREAT Doing business as

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1447495288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 COVERED BRIDGE DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247990",
            "telephone_number": "386-734-4442",
            "fax_number": "386-734-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 COVERED BRIDGE DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247990",
            "telephone_number": "386-734-4442",
            "fax_number": "386-734-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANALINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-734-4442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S, R.D., L.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686574700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENDER RETREAT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Deland, FL
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.