Active NPI
Rylans Way Incorporated
- Developmentally Disabled Services Day Training Agency
- Orange Park, FL
National Provider Identifier
1457821100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- RYLANS WAY INCORPORATED
- Practice address
- 494 Clermont Ave S
Orange Park, FL 32073-4337 - Phone
- (786) 909-9029
- NPI assigned
- Nov 26, 2018
- Last updated
- Nov 26, 2018
- 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
- Jade Marie Nimmo
- Title
- President
- Phone
- (786) 909-9029
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
494 Clermont Ave S
Orange Park, FL 32073-4337
Mailing address
494 Clermont Ave S
Orange Park, FL 32073-4337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730396 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community Health Worker
- Orange Park, FL
- NPI 1669947495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543190400000",
"number": "1457821100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 CLERMONT AVE S",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 CLERMONT AVE S",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734337",
"telephone_number": "786-909-9029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYLANS WAY INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A",
"authorized_official_last_name": "NIMMO",
"authorized_official_first_name": "JADE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-909-9029"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "730396",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.