Active NPI
Plan Life Care LLC
- In Home Supportive Care Agency
- Daytona Beach, FL
National Provider Identifier
1477089597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 299994708
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.