NPIMap

Organization Active NPI

Lenora Mazon

  • Developmentally Disabled Services Day Training Agency
  • Havana, FL
National Provider Identifier
1497105902
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LENORA MAZON
Practice address
211 E 10TH Ave
Havana, FL 32333-1915
Phone
(352) 318-9681
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Lenora MazonNPI 1619430246
Title
Owner/ Administrative Coordinator
Phone
(352) 318-9681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

211 E 10TH Ave
Havana, FL 32333-1915

Mailing address

211 E 10TH Ave
Havana, FL 32333-1915
Phone (352) 318-9681

Other names 1

  • Lenora Mazon Med Waiver & Nursing Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1497105902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 10TH AVE",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323331915",
            "telephone_number": "352-318-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 10TH AVE",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323331915",
            "telephone_number": "352-318-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENORA MAZON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "MAZON",
        "authorized_official_first_name": "LENORA",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "352-318-9681"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenora Mazon Med Waiver & Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.