Basca Inc

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

BASCA INC

Practice address

352 Stowe Ave
Orange Park, FL 32073-5547

Phone

(904) 541-1742

Fax

(904) 278-6686

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Patrice Sherman

Title

Executive Director of Programs

Phone

(904) 541-1742

Specialties & licenses 1

Addresses

Other names 1

• Building Abilities of Special Children & Adults Former legal business name

Locations

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1669083192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 STOWE AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735547",
            "telephone_number": "904-541-1742",
            "fax_number": "904-278-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 STOWE AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735547",
            "telephone_number": "904-541-1742",
            "fax_number": "904-278-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASCA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "904-541-1742"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Building Abilities of Special Children & Adults",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Russell Wade Barry, MD
• Emily Kate Bartholomew
• Melanie S Bartholomew, LMHC
• Anthony Floriano Bartolino, MS
• Mekenna Anne Barton, PA-C
• Chelsea Bascome
• Toraya Bass
• Mary Jaclyn Bassett, PT, DPT
• Samantha Batteh, MD
• Sofia Alejandra Battistini Garcia, M.D.

• Community Health Worker in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.