Organization Active NPI

Elder Care of Alachua County Inc.

  • Home Health Agency
  • Gainesville, FL
National Provider Identifier
1720387673
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5638 Issued in FL
Legal business name
ELDER CARE OF ALACHUA COUNTY INC.
Practice address
3515 NW 98TH St
Gainesville, FL 32606-5008
Phone
(352) 265-0789
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Mr. Anthony Mark Clarizio
Title
Executive Director
Phone
(352) 265-9243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5638 FL Primary

Addresses

Primary practice location

3515 NW 98TH St
Gainesville, FL 32606-5008

Mailing address

3515 NW 98TH St
Gainesville, FL 32606-5008
Phone (352) 265-0789

Other identifiers 1

IdentifierTypeStateIssuer
025079102MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Elder Care of Alachua County Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3515 NW 98th St
Gainesville, FL 32606
Phone (352) 265-0789

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1720387673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 NW 98TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065008",
            "telephone_number": "352-265-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 NW 98TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065008",
            "telephone_number": "352-265-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CARE OF ALACHUA COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "CLARIZIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "352-265-9243",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "5638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025079102",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.