Elsyoff Care Center LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

ELSYOFF CARE CENTER LLC

Practice address

1727 NW 19TH Ter
Cape Coral, FL 33993-4915

Phone

(239) 312-8316

Fax

(239) 312-8320

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Mailin Freeman

Title

Owner

Phone

(239) 312-8316

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1619578192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 NW 19TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339934915",
            "telephone_number": "239-312-8316",
            "fax_number": "239-312-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 NW 19TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339934915",
            "telephone_number": "239-312-8316",
            "fax_number": "239-312-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSYOFF CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MAILIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-312-8316"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.