Active NPI
Ba Skinner Group Inc.
- Home Modifications Contractor
- Daytona Beach, FL
National Provider Identifier
1891257697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Legal business name
- BA SKINNER GROUP INC.
- Practice address
- 1575 Aviation Center Pkwy Ste 525
Daytona Beach, FL 32114-3864 - Phone
- (386) 566-8565
- NPI assigned
- Apr 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bradley A Skinner
- Title
- Prtesident
- Phone
- (386) 566-8565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Primary |
Addresses
Primary practice location
1575 Aviation Center Pkwy Ste 525
Daytona Beach, FL 32114-3864
Mailing address
1575 Aviation Center Pkwy Ste 525
Daytona Beach, FL 32114-3864
Phone (386) 566-8565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101920900 | Medicaid | FL |
Other names 1
- SAFE BATH PLUS
National Provider Directory
National Provider DirectoryLocations
1575 Aviation Center Pkwy
Ste 525
Daytona Beach, FL 32114
Phone (386) 566-8565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554163200000",
"number": "1891257697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 AVIATION CENTER PKWY STE 525",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321143864",
"telephone_number": "386-566-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 AVIATION CENTER PKWY STE 525",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321143864",
"telephone_number": "386-566-8565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BA SKINNER GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-02",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRTESIDENT",
"authorized_official_telephone_number": "386-566-8565",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101920900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAFE BATH PLUS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.