NPIMap

Organization Active NPI

Specialty Care Services Inc

  • Adult Day Care Clinic/Center
  • Ocala, FL
National Provider Identifier
1750865879
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SPECIALTY CARE SERVICES INC
Practice address
2925 NW 4TH Ave
Ocala, FL 34475-2645
Phone
(352) 258-4015
Fax
(215) 559-6336
NPI assigned
Sep 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Mr. Edward Jerome Porter, RN
Title
Administrator
Phone
(352) 258-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2925 NW 4TH Ave
Ocala, FL 34475-2645

Mailing address

2925 NW 4TH Ave
Ocala, FL 34475-2645
Phone (352) 258-4015

Other practice location 1

2925 N.W. 4th Av.
Ocala, FL 34475
Phone (352) 258-4015

Other identifiers 1

IdentifierTypeStateIssuer
016981800MedicaidFL

Other names 1

  • Specialty Care Services Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Specialty Care Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1750865879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 NW 4TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344752645",
            "telephone_number": "352-258-4015",
            "fax_number": "215-559-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 NW 4TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344752645",
            "telephone_number": "352-258-4015",
            "fax_number": "215-559-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 N.W. 4th Av.",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "34475",
            "country_code": "US",
            "telephone_number": "352-258-4015",
            "fax_number": "215-559-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-258-4015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016981800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Care Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.