Take Wings and Soar, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

TAKE WINGS AND SOAR, INC.

Practice address

2204 26TH Ave E
Bradenton, FL 34208-7755

Phone

(941) 746-4240

Fax

(941) 746-1454

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Keith H. Jackson

Title

Cfo/Administrator

Phone

(941) 746-4240

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1619155652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 26TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342087755",
            "telephone_number": "941-746-4240",
            "fax_number": "941-746-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 26TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342087755",
            "telephone_number": "941-746-4240",
            "fax_number": "941-746-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE WINGS AND SOAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CFO/ADMINISTRATOR",
        "authorized_official_telephone_number": "941-746-4240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADING PARTNER ID",
            "identifier": "58662",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.