Adult Day Care Corp

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

ADULT DAY CARE CORP

Practice address

1122 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-2934

Phone

(386) 255-7555

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Steven A Kazimirov

Title

Director

Phone

(386) 255-7555

Specialties & licenses 2

Addresses

Other names 1

• ATLANTIC ADULT DAY CARE Doing business as

Locations

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1629260377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 DR MARY MCLEOD BETHUNE BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142934",
            "telephone_number": "386-255-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 DR MARY MCLEOD BETHUNE BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142934",
            "telephone_number": "386-255-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT DAY CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "KAZIMIROV",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-255-7555"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC ADULT DAY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Respite Care in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.