Care Delivery Alliance

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

CARE DELIVERY ALLIANCE

Practice address

701 N Palmetto St
Suite F
Leesburg, FL 34748-4493

Phone

(352) 323-5665

Fax

(352) 323-1092

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Childress, MHA, CMPE

Title

Administrative Director

Phone

(352) 323-5665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1467820795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N PALMETTO ST",
            "address_2": "SUITE F",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484493",
            "telephone_number": "352-323-5665",
            "fax_number": "352-323-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N PALMETTO ST",
            "address_2": "SUITE F",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484493",
            "telephone_number": "352-323-5665",
            "fax_number": "352-323-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DELIVERY ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "352-323-5665",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA, CMPE"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.