Organization Active NPI

Deaudrey Byrd

  • Adult Care Home Facility
  • Tallahassee, FL
National Provider Identifier
1720786338
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DEAUDREY BYRD
Practice address
6201 Bombadil Dr
Tallahassee, FL 32303-6751
Phone
(850) 345-3311
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Mrs. Deaudrey ByrdNPI 1851817886
Title
Owner
Phone
(850) 345-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

6201 Bombadil Dr
Tallahassee, FL 32303-6751

Mailing address

6201 Bombadil Dr
Tallahassee, FL 32303-6751
Phone (850) 345-3311

Other names 1

  • Gencare Health and Caregiver services llc Doing business as

National Provider Directory

National Provider Directory

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": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1720786338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BOMBADIL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036751",
            "telephone_number": "850-345-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BOMBADIL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036751",
            "telephone_number": "850-345-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAUDREY BYRD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DEAUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-345-3311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gencare Health and Caregiver services llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.