NPIMap

Organization Active NPI

Community Aging & Retirement Services, Inc

  • Adult Day Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1790186047
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
8953 Issued in FL
Legal business name
COMMUNITY AGING & RETIREMENT SERVICES, INC
Practice address
4102 W Spruce St
Tampa, FL 33607-2331
Phone
(813) 644-5990
Fax
(813) 644-5903
NPI assigned
Sep 5, 2014
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
William Aycrigg
Title
Chief Executive Officer
Phone
(727) 862-9291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 8953 FL Primary

Addresses

Primary practice location

4102 W Spruce St
Tampa, FL 33607-2331

Mailing address

12417 Clock Tower Pkwy
Hudson, FL 34667-2411

Other identifiers 1

IdentifierTypeStateIssuer
099897404MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Community Aging Retirement Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1790186047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12417 CLOCK TOWER PKWY",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 W SPRUCE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072331",
            "telephone_number": "813-644-5990",
            "fax_number": "813-644-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AGING & RETIREMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "AYCRIGG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "727-862-9291"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "8953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099897404",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.