Organization Active NPI

Ba Skinner Group Inc.

  • Home Modifications Contractor
  • Daytona Beach, FL
National Provider Identifier
1891257697
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
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

Updated by the provider on Apr 2, 2019

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)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
101920900MedicaidFL

Other names 1

  • SAFE BATH PLUS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.