NPIMap

Organization Active NPI

Parkview Outreach Community Center

  • Voluntary or Charitable Agency
  • Haines City, FL
National Provider Identifier
1487968806
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PARKVIEW OUTREACH COMMUNITY CENTER
Practice address
1205 Dr Martin L King Jr Way
Haines City, FL 33844-3490
Phone
(863) 353-6853
Fax
(863) 438-2752
NPI assigned
Jul 27, 2010
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Roosevelt Thomas Jr., ED.D.
Title
Chairman of the Board
Phone
(863) 353-6853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

1205 Dr Martin L King Jr Way
Haines City, FL 33844-3490

Mailing address

1205 Dr Martin L King Jr Way
Haines City, FL 33844-3490
Phone (863) 353-6853

National Provider Directory

National Provider Directory

Locations

1205 Dr Martin L King Jr Way
Haines City, FL 33844
Phone (863) 353-6853

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26688/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1487968806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 DR MARTIN L KING JR WAY",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443490",
            "telephone_number": "863-353-6853",
            "fax_number": "863-438-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 DR MARTIN L KING JR WAY",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443490",
            "telephone_number": "863-353-6853",
            "fax_number": "863-438-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW OUTREACH COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "863-353-6853",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.