Medallion Health Care Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MEDALLION HEALTH CARE SERVICES

Practice address

308 S. Martin Luther King Blvd.
Ste. 113
Daytona Beach, FL 32114

Phone

(386) 405-4155

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Keona Latosha Slater

Title

Owner

Phone

(386) 405-4155

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Keona Latosha Barnwell

  • Case Manager/Care Coordinator
  • Daytona Beach, FL
  • NPI 1134382732
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1780849745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 KOTTLE CIR S",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144719",
            "telephone_number": "386-405-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S. MARTIN LUTHER KING BLVD.",
            "address_2": "STE. 113",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-405-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLION HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "KEONA",
        "authorized_official_middle_name": "LATOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-405-4155",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharonda McPhee
• Elizabeth Rose McQueen
• Rebecca Ann McSorley
• Jarrett Melanie McWhorter, PA-C
• Sydney Meade, PA
• Medicaid Dentistry of Daytona LLC
• Medical Arts Optical Service,Inc
• Michelle Kay Medina, LCSW
• William H Meek, MD
• Mefl, LLC

• Case Management Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.