NPIMap

Organization Active NPI

Polk County Board of County Commissioners

  • Alzheimer Center (Dementia Center)
  • Bartow, FL
National Provider Identifier
1467610329
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
POLK COUNTY BOARD OF COUNTY COMMISSIONERS
Doing business as
ADULT DAY CARE CENTERS
Practice address
2135 Marshall Edwards Dr
Bartow, FL 33830-6757
Phone
(863) 534-5229
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Mr. Samuel (Sam) Johnson
Title
Chairman
Phone
(863) 534-6049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X FL Primary

Addresses

Primary practice location

2135 Marshall Edwards Dr
Bartow, FL 33830-6757

Mailing address

2135 Marshall Edwards Dr
Bartow, FL 33830-6757
Phone (863) 534-5229

Other identifiers 2

IdentifierTypeStateIssuer
60-01544OtherFLEVERCARE HEALTH & HOME CONNECTION
13157OtherFLUNIVERSAL HEALTH CARE COMMUNITY DIVERSION PROGRAM

Other names 1

  • ADULT DAY CARE CENTERS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Polk County Board of County10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

2135 Marshall Edwards Dr
Bartow, FL 33830
Phone (863) 519-7579

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1467610329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 MARSHALL EDWARDS DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306757",
            "telephone_number": "863-534-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 MARSHALL EDWARDS DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306757",
            "telephone_number": "863-534-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK COUNTY BOARD OF COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMUEL (SAM)",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "863-534-6049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE HEALTH & HOME CONNECTION",
            "identifier": "60-01544",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH CARE COMMUNITY DIVERSION PROGRAM",
            "identifier": "13157",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADULT DAY CARE CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.