Worc Oriented Rehabilitation Center Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WORC ORIENTED REHABILITATION CENTER INC.

Practice address

1100 Jimmy Ann Dr
Daytona Beach, FL 32117-3920

Phone

(386) 274-6474

Fax

(386) 274-0117

NPI assigned

Apr 28, 2017

Organization subpart

No

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

Authorized official

Name

Karen Davidson, MACC

Title

Secretary/Treasurer/Cfo

Phone

(305) 273-3023

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ucpworc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• United Cerebral Palsy of East Central Florida, Inc.

  dba Ucp/Worc

  • Developmentally Disabled Services Day Training Agency
  • Daytona Beach, FL
  • NPI 1922369792
  NPD tax ID

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1467987370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733432",
            "telephone_number": "305-596-9040",
            "fax_number": "305-275-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JIMMY ANN DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321173920",
            "telephone_number": "386-274-6474",
            "fax_number": "386-274-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORC ORIENTED REHABILITATION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SECRETARY/TREASURER/CFO",
        "authorized_official_telephone_number": "305-273-3023",
        "authorized_official_credential": "MACC"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023962396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles E Womack, MD
• Yu Ho Wong, M.D.,
• Austin Paul Woodman, RN
• Elizabeth Lynn Woods, ARNP
• Kristen Carla Woody, MD
• Karishma Workmon
• Khadaja C Worship
• Brianna Marie Worthen
• Beth Pierre Wright, R.N.
• Dean C Wright, CRNA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.