Active NPI
Community Aging & Retirement Services, Inc
- Adult Day Care Clinic/Center
- New Port Richey, FL
National Provider Identifier
1679974281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 9045
- Legal business name
- COMMUNITY AGING & RETIREMENT SERVICES, INC
- Practice address
- 6640 Van Buren St
New Port Richey, FL 34653-2649 - Phone
- (727) 844-3077
- NPI assigned
- Sep 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Aycrigg
- Title
- Chief Executive Officer
- Phone
- (727) 862-9291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 9045 | FL | Primary |
Addresses
Primary practice location
6640 Van Buren St
New Port Richey, FL 34653-2649
Mailing address
12417 Clock Tower Pkwy
Hudson, FL 34667-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099897402 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Community Aging Retirement Services Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Brandon, FL
- NPI 1063803880
-
- Adult Day Care Clinic/Center
- Tampa, FL
- NPI 1093106908
-
- Adult Day Care Clinic/Center
- Plant City, FL
- NPI 1215338751
-
- Adult Day Care Clinic/Center
- Dade City, FL
- NPI 1568863025
-
- Adult Day Care Clinic/Center
- Tampa, FL
- NPI 1790186047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410998400000",
"number": "1679974281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12417 CLOCK TOWER PKWY",
"city": "HUDSON",
"state": "FL",
"postal_code": "346672411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6640 VAN BUREN ST",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346532649",
"telephone_number": "727-844-3077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY AGING & RETIREMENT SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-15",
"last_updated": "2014-09-18",
"status": "A",
"authorized_official_last_name": "AYCRIGG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "727-862-9291"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "FL",
"license": "9045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099897402",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.