NPIMap

Organization Active NPI

Agency for Persons With Disabilities

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Gainesville, FL
National Provider Identifier
1457438244
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
4089096 Issued in FL
Legal business name
AGENCY FOR PERSONS WITH DISABILITIES
Practice address
1621 NE Waldo Rd
Gainesville, FL 32609-3900
Phone
(352) 955-5668
Fax
(352) 955-6038
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Don E. Thomas
Title
Superintendent
Phone
(352) 955-5856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 4089096 FL Primary

Addresses

Primary practice location

1621 NE Waldo Rd
Gainesville, FL 32609-3900

Mailing address

1621 NE Waldo Rd
Gainesville, FL 32609-3900
Phone (352) 955-5668

Other names 1

  • Tacachale Facility 1 Other name

National Provider Directory

National Provider Directory
Tax ID family
Agency for Persons With Disabilities12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1621 NE Waldo Rd
Ofc
Gainesville, FL 32609

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1457438244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 NE WALDO RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093900",
            "telephone_number": "352-955-5668",
            "fax_number": "352-955-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 NE WALDO RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093900",
            "telephone_number": "352-955-5668",
            "fax_number": "352-955-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENCY FOR PERSONS WITH DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "352-955-5856",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "4089096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacachale Facility 1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.