Senior Resource Association, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 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

Last updated

Aug 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Deigl, MS

Title

Ceo & President

Phone

(772) 569-0760

Specialties & licenses 4

Addresses

Other names 1

• Council on Aging of IRC Former legal business name

Tax ID family

Council on Aging of Irc2 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.

• Senior Resource Association, Inc

  • Adult Day Care Clinic/Center
  • Sebastian, FL
  • NPI 1003012089
  NPD tax ID

Locations

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1881966646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 14TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605770",
            "telephone_number": "772-569-0760",
            "fax_number": "772-778-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 14TH STREET",
            "city": "VERO BEACH, FL",
            "state": "FL",
            "postal_code": "329605770",
            "telephone_number": "772-569-0760",
            "fax_number": "772-778-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Davis St",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583842",
            "country_code": "US",
            "telephone_number": "772-569-0760 x310",
            "fax_number": "772-388-6130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENIOR RESOURCE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "DEIGL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "772-569-0760",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Council on Aging of IRC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Council on Aging of IRC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.