McCoy Care Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9069 Issued in FL

Legal business name

MCCOY CARE INC.

Doing business as

McCoy Adult Day Care

Practice address

120 E 20TH Ave
Mount Dora, FL 32757-2869

Phone

(352) 383-9770

Fax

(352) 735-1545

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Casey McCoy

Title

President

Phone

(352) 551-4322

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McCoy Adult Day Care Doing business as

Locations

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1710232269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 20TH AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572869",
            "telephone_number": "352-383-9770",
            "fax_number": "352-735-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 20TH AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572869",
            "telephone_number": "352-383-9770",
            "fax_number": "352-735-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-551-4322"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000972000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCoy Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denice McClenton
• Jasmine Paige McClenton
• Mychael McClenton
• Victoria McClinton
• Maggie Suzanne McConnell
• Stacey McCoy, ARNP
• Aunyea McCrea
• Cherryl Lyn McCullough
• Shelly Ann McKibbin
• Marigrace McNamara, RN, L.AC

• Adult Day Care Clinic/Center in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.