Active NPI
Senior Citizens Council of Madison
- Case Management Agency
- Madison, FL
National Provider Identifier
1679877203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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 Madison
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Madison, FL
- NPI 1598022469
-
- Case Management Agency
- Madison, FL
- NPI 1013210921
Locations
1161 SW Harvey Greene Dr
Madison, FL 32340
Phone (850) 973-4241
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024876200 | Medicaid | FL |
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
- Safe Harbor for Individual With Disabilities
- Kimberly M. Sanders, P.T.
- Rachael E Sapp, ARNP
- Kristin Campbell Searcy, DPT
- Ira John Seasholtz, D.O.
- Senior Citizens Council of Madison County, Inc.
- Senior Citizens Council-Madison Co.
- Judith Khristian Sever-Johnson
- Roderick Kirkpatrick Shaw III, DMD
- Bonita Sheehy
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.