Halifax Senior Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9273 Issued in FL

Legal business name

HALIFAX SENIOR CARE INC

Practice address

1515 Ridgewood Ave
Suite B
Holly Hill, FL 32117

Phone

(386) 265-1990

Fax

(386) 310-7916

NPI assigned

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Kennedy

Title

Owner

Phone

(386) 265-1990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1578974440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RIDGEWOOD AVE",
            "address_2": "SUITE B",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-265-1990",
            "fax_number": "386-310-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RIDGEWOOD AVE",
            "address_2": "SUITE B",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-265-1990",
            "fax_number": "386-310-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-265-1990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Holly Hill, FL
• Providers in Holly Hill, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.