Active NPI
United Cerebral Palsy of N FL'S Tender Love and Care
- Medically Fragile Infants and Children Day Care
- Panama City, FL
National Provider Identifier
1528112778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- UNITED CEREBRAL PALSY OF N FL'S TENDER LOVE AND CARE
- Practice address
- 1241 N East Ave
Panama City, FL 32401-4426 - Phone
- (850) 769-7960
- Fax
- (850) 769-1060
- NPI assigned
- Jan 23, 2007
- 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
- Arthur Breedlove
- Title
- Executive Director
- Phone
- (850) 769-7960
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 60080969 | FL | |
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary |
Addresses
Primary practice location
1241 N East Ave
Panama City, FL 32401-4426
Mailing address
1241 N East Ave
Panama City, FL 32401-4426
Phone (850) 769-7960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240007300 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- United Cerebral Palsy of N Florida
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Panama City, FL
- NPI 1225183114
-
- Physical Therapy Clinic/Center
- Panama City, FL
- NPI 1275688129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609977600000",
"number": "1528112778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 N EAST AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324014426",
"telephone_number": "850-769-7960",
"fax_number": "850-769-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 N EAST AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324014426",
"telephone_number": "850-769-7960",
"fax_number": "850-769-1060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED CEREBRAL PALSY OF N FL'S TENDER LOVE AND CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A",
"authorized_official_last_name": "BREEDLOVE",
"authorized_official_first_name": "ARTHUR",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "850-769-7960"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "60080969",
"primary": false
},
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240007300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.