Concept Two, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

6906626 Issued in FL

Legal business name

CONCEPT TWO, INC.

Practice address

4850 65TH St
Vero Beach, FL 32967-5364

Phone

(772) 453-5527

NPI assigned

Aug 25, 2013

Last updated

Aug 25, 2013By 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

Chari L Fry

Title

Owner

Phone

(772) 453-5527

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377388800000",
    "number": "1902230105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 46TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329662348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 65TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329675364",
            "telephone_number": "772-453-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT TWO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-25",
        "last_updated": "2013-08-25",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "CHARI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-453-5527"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "6906626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; 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.