NPIMap

Organization Active NPI

Add to Life Adult Day Care, Inc.

  • Adult Day Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1881903045
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
8840 Issued in FL
Legal business name
ADD TO LIFE ADULT DAY CARE, INC.
Practice address
5877 Old Timuquana Rd
Jacksonville, FL 32210-7888
Phone
(904) 779-1777
Fax
(904) 779-1711
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mrs. Cindy Blantz Dixon
Title
Director
Phone
(904) 779-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 8840 FL Primary

Addresses

Primary practice location

5877 Old Timuquana Rd
Jacksonville, FL 32210-7888

Mailing address

5877 Old Timuquana Rd
Jacksonville, FL 32210-7888
Phone (904) 779-1777

Other identifiers 1

IdentifierTypeStateIssuer
675886002MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Add to Life Adult Day Care Inc3 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": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1881903045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 OLD TIMUQUANA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107888",
            "telephone_number": "904-779-1777",
            "fax_number": "904-779-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 OLD TIMUQUANA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107888",
            "telephone_number": "904-779-1777",
            "fax_number": "904-779-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADD TO LIFE ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "BLANTZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-779-1777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "8840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "675886002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.