Organization Active NPI

Senior Citizens Council of Madison

  • Case Management Agency
  • Madison, FL
National Provider Identifier
1679877203
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SENIOR CITIZENS COUNCIL OF MADISON
Practice address
1161 SW Harvey Greene Dr
Madison, FL 32340-4508
Phone
(850) 973-4241
Fax
(850) 973-4292
NPI assigned
Dec 22, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Rosa Richardson
Title
Executive Director
Phone
(850) 973-4241

National Provider Directory

National Provider Directory
Tax ID family
Senior Citizens Council of Madison3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1161 SW Harvey Greene Dr
Madison, FL 32340
Phone (850) 973-4241

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1161 SW Harvey Greene Dr
Madison, FL 32340-4508

Mailing address

PO Box 204
Madison, FL 32341-0204
Phone (850) 973-4241

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
024876200MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2010.

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1679877203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323410204",
            "telephone_number": "850-973-4241",
            "fax_number": "850-973-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 SW HARVEY GREENE DR",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323404508",
            "telephone_number": "850-973-4241",
            "fax_number": "850-973-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CITIZENS COUNCIL OF MADISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-973-4241"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024876200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.