Organization Active NPI

Over the Top Services and Care, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Saint Augustine, FL
National Provider Identifier
1649914060
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
OVER THE TOP SERVICES AND CARE, INC.
Practice address
345 Ponce Harbor Dr Apt 104
Saint Augustine, FL 32086-5115
Phone
(904) 522-3118
NPI assigned
Apr 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Ureka D BlountNPI 1184241176
Title
Ceo
Phone
(904) 522-3118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

345 Ponce Harbor Dr Apt 104
Saint Augustine, FL 32086-5115

Mailing address

345 Ponce Harbor Dr Apt 104
Saint Augustine, FL 32086-5115
Phone (904) 522-3118

Other identifiers 1

IdentifierTypeStateIssuer
014116500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Over the Top Companion Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1649914060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PONCE HARBOR DR APT 104",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865115",
            "telephone_number": "904-522-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 PONCE HARBOR DR APT 104",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865115",
            "telephone_number": "904-522-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVER THE TOP SERVICES AND CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "UREKA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-522-3118"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014116500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.