Senior Resource Association, Inc
Organization Active NPI Adult Day Care Clinic/Center · Vero Beach, FL, FL
NPI 1881966646 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1881966646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- Legal business name
- SENIOR RESOURCE ASSOCIATION, INC
- Practice address
- 686 14TH Street
Vero Beach, FL, FL 32960-5770 - Phone
- (772) 569-0760
- Fax
- (772) 778-7272
- NPI assigned
- Feb 8, 2012
- Organization subpart
- No
Authorized official
- Name
- Karen Deigl, MS
- Title
- Ceo & President
- Phone
- (772) 569-0760
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Council on Aging of Irc
Locations
815 Davis St
Sebastian, FL 32958
Phone (772) 569-0760
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Yes | ||
| Home Delivered Meals | 332U00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Attendant Care Provider |
3747A0650X |
Addresses
Primary practice location
686 14TH Street
Vero Beach, FL, FL 32960-5770
Mailing address
694 14TH St
Vero Beach, FL 32960-5770
Phone (772) 569-0760
Other practice location 1
815 Davis St
Sebastian, FL 32958-3842
Phone (772) 569-0760 ext. 310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024915700 | Medicaid | FL | |
| 06754600 | Medicaid | FL | |
| 024915701 | Medicaid | FL | |
| 0877484007 | Medicaid | FL |
Other names
- Council on Aging of IRC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.