NPIMap

Organization Active NPI

Phyllis Baird Adult Family Care Home

  • Mental Illness Community Based Residential Treatment Facility
  • Port Charlotte, FL
National Provider Identifier
1801138003
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
3 Issued in FL
Legal business name
PHYLLIS BAIRD ADULT FAMILY CARE HOME
Practice address
284 Comstock St
Port Charlotte, FL 33954-3627
Phone
(941) 743-0778
NPI assigned
Mar 26, 2013
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Phyllus Baird
Title
Owner
Phone
(941) 743-0778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 3 FL Primary

Addresses

Primary practice location

284 Comstock St
Port Charlotte, FL 33954-3627

Mailing address

284 Comstock St
Port Charlotte, FL 33954-3627

National Provider Directory

National Provider Directory
Tax ID family
Azul Therapy Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1801138003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 COMSTOCK ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339543627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 COMSTOCK ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339543627",
            "telephone_number": "941-743-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS BAIRD ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "PHYLLUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-743-0778"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.