Organization Active NPI

Plan Life Care LLC

  • In Home Supportive Care Agency
  • Daytona Beach, FL
National Provider Identifier
1477089597
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
299994708 Issued in FL
Legal business name
PLAN LIFE CARE LLC
Practice address
601 Innovation Way
Daytona Beach, FL 32114
Phone
(386) 968-1920
Fax
(954) 900-1630
NPI assigned
May 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Anthony Frank William Ford
Title
Owner
Phone
(386) 986-1920

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299994708 FL
In Home Supportive Care Agency 253Z00000X 299994708 FL Primary
In Home Supportive Care Agency 253Z00000X 234761 FL

Addresses

Primary practice location

601 Innovation Way
Daytona Beach, FL 32114

Mailing address

601 Innovation Way
Daytona Beach, FL 32114-3865
Phone (386) 968-1920

National Provider Directory

National Provider Directory

Locations

601 Innovation Way
Daytona Beach, FL 32114
Phone (386) 968-1920

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1477089597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 INNOVATION WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143865",
            "telephone_number": "386-968-1920",
            "fax_number": "954-900-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 INNOVATION WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-968-1920",
            "fax_number": "954-900-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAN LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "FRANK WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-986-1920"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994708",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299994708",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.