NPIMap

Organization Active NPI

Maxcen Housing Society Inc.

Doing business as Maxcen Society Humanity Help of Florida

  • Adult Day Care Clinic/Center
  • Davenport, FL
National Provider Identifier
1811465578
Registry record updated Nov 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MAXCEN HOUSING SOCIETY INC.
Doing business as
Maxcen Society Humanity Help of Florida
Practice address
115C Lake Davenport Blvd
Davenport, FL 33897-9405
Phone
(888) 959-4159
Fax
(888) 959-4173
NPI assigned
Nov 10, 2018
Last updated
Nov 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2018

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

Authorized official

Name
Jean-Maxcene Decarde
Title
President-Ceo
Phone
(888) 959-4159

Specialties & licenses 1

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

Addresses

Primary practice location

115C Lake Davenport Blvd
Davenport, FL 33897-9405

Mailing address

115C Lake Davenport Blvd
Davenport, FL 33897-9405
Phone (888) 959-4159

Other identifiers 1

IdentifierTypeStateIssuer
734059MedicaidFL

Other names 1

  • MAXCEN SOCIETY HUMANITY HELP OF FLORIDA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maxcen Housing Society Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1541808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541808000000",
    "number": "1811465578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115C LAKE DAVENPORT BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979405",
            "telephone_number": "888-959-4159",
            "fax_number": "888-959-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115C LAKE DAVENPORT BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979405",
            "telephone_number": "888-959-4159",
            "fax_number": "888-959-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCEN HOUSING SOCIETY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-10",
        "last_updated": "2018-11-10",
        "status": "A",
        "authorized_official_last_name": "DECARDE",
        "authorized_official_first_name": "JEAN-MAXCENE",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "888-959-4159"
    },
    "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": "734059",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXCEN SOCIETY HUMANITY HELP OF FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.