Active NPI
Columbia County Senior Services
- Adult Day Care Clinic/Center
- Lake City, FL
National Provider Identifier
1528794732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- COLUMBIA COUNTY SENIOR SERVICES
- Practice address
- 628 SE Allison CT
Lake City, FL 32025-6101 - Phone
- (386) 755-0235
- NPI assigned
- Jul 29, 2022
- Last updated
- Jul 24, 2023
- 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
- David T Huckabee
- Title
- Executive Director
- Phone
- (386) 755-0235
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary | |
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
628 SE Allison CT
Lake City, FL 32025-6101
Mailing address
PO Box 1772
Lake City, FL 32056-1772
Phone (386) 755-0235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113652900 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | huckabeed@agingresources.org |
National Provider Directory
National Provider Directory- Tax ID family
- Columbia County Senior Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Lake City, FL
- NPI 1225239429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690156800000",
"number": "1528794732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1772",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320561772",
"telephone_number": "386-755-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 SE ALLISON CT",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320256101",
"telephone_number": "386-755-0235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA COUNTY SENIOR SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-29",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "HUCKABEE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "386-755-0235"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113652900",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "huckabeed@agingresources.org",
"affiliation": "N",
"address_1": "628 SE Allison Ct",
"city": "Lake City",
"state": "FL",
"country_code": "US",
"postal_code": "320256101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.