Cathy's Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6905749 Issued in FL

Legal business name

CATHY'S ADULT FAMILY CARE HOME

Practice address

420 El Dorado St
Lakeland, FL 33809-4284

Phone

(863) 859-7804

Fax

(863) 859-7804

NPI assigned

Aug 16, 2006

Last updated

Aug 22, 2020By 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

Mrs. Catherine White

Title

Owner

Phone

(863) 859-7804

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629181391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 EL DORADO ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094284",
            "telephone_number": "863-859-7804",
            "fax_number": "863-859-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 EL DORADO ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094284",
            "telephone_number": "863-859-7804",
            "fax_number": "863-859-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHY'S ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-859-7804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria E Castro, ARNP
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• Adult Care Home Facility in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.