Senior Citizens Council of Madison County, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

14945 Issued in FL

Legal business name

SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC.

Practice address

1161 SW Harvey Greene Dr
Madison, FL 32340-4508

Phone

(850) 973-4241

Fax

(850) 973-4292

NPI assigned

Apr 17, 2012

Last updated

Apr 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rosa Richardson

Title

Executive Director

Phone

(850) 973-4241

Specialties & licenses 2

Addresses

Tax ID family

Senior Citizens Council of Madison3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Senior Citizens Council of Madison

  • Case Management Agency
  • Madison, FL
  • NPI 1679877203
  NPD tax ID
• Senior Citizens Council-Madison Co.

  • Case Management Agency
  • Madison, FL
  • NPI 1013210921
  NPD tax ID

Locations

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1598022469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323410204",
            "telephone_number": "850-973-4241",
            "fax_number": "850-973-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 SW HARVEY GREENE DR",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323404508",
            "telephone_number": "850-973-4241",
            "fax_number": "850-973-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-973-4241",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "14945",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "14945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly M. Sanders, P.T.
• Rachael E Sapp, ARNP
• Kristin Campbell Searcy, DPT
• Ira John Seasholtz, D.O.
• Senior Citizens Council of Madison
• Senior Citizens Council-Madison Co.
• Judith Khristian Sever-Johnson
• Roderick Kirkpatrick Shaw III, DMD
• Bonita Sheehy
• Wendy Silvernell

• Case Management Agency in Madison, FL
• Providers in Madison, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.