Ordean Martins Social & Recreational Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ORDEAN MARTINS SOCIAL & RECREATIONAL CENTER LLC

Practice address

800 W Canal St S Unit 816
Belle Glade, FL 33430-2942

Phone

(561) 493-4653

NPI assigned

Jun 7, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Tarasgela M. Wilson

Title

Administrator

Phone

(561) 493-4653

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ORDEAN MARTINS SOCIAL & RECREATIONAL CENTER LLC Doing business as

Locations

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1770325136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CANAL ST S UNIT 816",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334302942",
            "telephone_number": "561-493-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CANAL ST S UNIT 816",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334302942",
            "telephone_number": "561-493-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORDEAN MARTINS SOCIAL & RECREATIONAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TARASGELA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-493-4653",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "261QA0600X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121638800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORDEAN MARTINS SOCIAL & RECREATIONAL CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Belle Glade, FL
• Providers in Belle Glade, 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 16, 2024; 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.