My Community Cares, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MY COMMUNITY CARES, INC.

Practice address

1555 N Cocoa Blvd
Cocoa, FL 32922-6933

Phone

(321) 821-3055

Fax

(321) 821-3055

NPI assigned

Mar 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jarvis Marlo Wash

Title

President

Phone

(321) 795-8419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1922491836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 N COCOA BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226933",
            "telephone_number": "321-821-3055",
            "fax_number": "321-821-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N COCOA BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226933",
            "telephone_number": "321-821-3055",
            "fax_number": "321-821-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY COMMUNITY CARES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "WASH",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_middle_name": "MARLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-795-8419",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.