Adult Day Services of Florida

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9020 Issued in FL

Legal business name

ADULT DAY SERVICES OF FLORIDA

Practice address

4180 Minton Rd
West Melbourne, FL 32904-9561

Phone

(321) 722-9295

Fax

(321) 722-9607

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard L Preston

Title

Owner

Phone

(321) 722-9295

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750582680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 MINTON RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329049561",
            "telephone_number": "321-722-9295",
            "fax_number": "321-722-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 MINTON RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329049561",
            "telephone_number": "321-722-9295",
            "fax_number": "321-722-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT DAY SERVICES OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-722-9295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in West Melbourne, FL
• Providers in West Melbourne, 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 Aug 22, 2020; 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.