NPIMap

Organization Active NPI

Shelia L. Simmons

  • Developmentally Disabled Services Day Training Agency
  • Havana, FL
National Provider Identifier
1851914493
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SHELIA L. SIMMONS
Practice address
67 Azalea TRL
Havana, FL 32333-5135
Phone
(850) 212-5612
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Shelia L SimmonsNPI 1003218652
Title
Owner
Phone
(850) 212-5612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
In Home Supportive Care Agency 253Z00000X
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X
Respite Care 385H00000X

Addresses

Primary practice location

67 Azalea TRL
Havana, FL 32333-5135

Mailing address

67 Azalea TRL
Havana, FL 32333-5135
Phone (850) 212-5612

Other identifiers 1

IdentifierTypeStateIssuer
234091MedicaidFL

Other names 1

  • Simmons Care Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL simmonscareservices@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1851914493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 AZALEA TRL",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323335135",
            "telephone_number": "850-212-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 AZALEA TRL",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323335135",
            "telephone_number": "850-212-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELIA L. SIMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-212-5612"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234091",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simmonscareservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "67 Azalea Trl",
            "city": "Havana",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323335135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Simmons Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.