NPIMap

Organization Active NPI

Polk County Elderly Services

  • Case Management Agency
  • Bartow, FL
National Provider Identifier
1942441787
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
670725400 Issued in FL
Legal business name
POLK COUNTY ELDERLY SERVICES
Practice address
1290 Golfview Ave
Bartow, FL 33830-6703
Phone
(863) 534-5548
Fax
(863) 534-0314
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Ms. Hope Jones
Title
Director of Elderly Services
Phone
(863) 534-5548

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 670725401 FL
Case Management Agency 251B00000X 670725400 FL Primary
Case Management Agency 251B00000X 080429100 FL
Case Management Agency 251B00000X 670725468 FL

Addresses

Primary practice location

1290 Golfview Ave
Bartow, FL 33830-6703

Mailing address

PO Box 9005
Drawer HS06
Bartow, FL 33831-9005
Phone (863) 534-5548

Other identifiers 4

IdentifierTypeStateIssuer
670725400OtherFLPROVIDER NUMBER FOR ADA, ADHC, AND MEALS FOR MED WAIVER
080429100OtherFLPROVIDER NUMBER FOR HIV MED WAIVER
670725468OtherFLPROVIDER NUMBER FOR CDC CASE MANAGEMENT
670725401OtherFLPROVIDER NUMBER FOR ASSITED LIVING WAIVER

National Provider Directory

National Provider Directory
Tax ID family
Jean Hlinn Arnp10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1290 Golfview Ave
Bartow, FL 33830
Phone (863) 519-7900

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1942441787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9005",
            "address_2": "DRAWER HS06",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338319005",
            "telephone_number": "863-534-5548",
            "fax_number": "863-534-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 GOLFVIEW AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306703",
            "telephone_number": "863-534-5548",
            "fax_number": "863-534-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK COUNTY ELDERLY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "DIRECTOR OF ELDERLY SERVICES",
        "authorized_official_telephone_number": "863-534-5548",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "670725401",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "670725400",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "080429100",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "670725468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER FOR ADA, ADHC, AND MEALS FOR MED WAIVER",
            "identifier": "670725400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER FOR HIV MED WAIVER",
            "identifier": "080429100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER FOR CDC CASE MANAGEMENT",
            "identifier": "670725468",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER FOR ASSITED LIVING WAIVER",
            "identifier": "670725401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.