Active NPI
Success for All of Florida, Inc.
- Developmentally Disabled Services Day Training Agency
- Winter Haven, FL
National Provider Identifier
1942462841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SUCCESS FOR ALL OF FLORIDA, INC.
- Practice address
- 111 Avenue R NE
Winter Haven, FL 33881-2472 - Phone
- (863) 299-0006
- NPI assigned
- Jul 1, 2008
- 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. Silas Swayne Harris
- Title
- Owner
- Phone
- (863) 299-0006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | FL | Primary |
Addresses
Primary practice location
111 Avenue R NE
Winter Haven, FL 33881-2472
Mailing address
PO Box 2433
Eaton Park, FL 33840-2433
Phone (863) 640-9170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686101798 | Other | FL | MEDICAID WAIVER |
| 686101796 | Other | FL | MEDICAID WAIVER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1942462841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2433",
"city": "EATON PARK",
"state": "FL",
"postal_code": "338402433",
"telephone_number": "863-640-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 AVENUE R NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338812472",
"telephone_number": "863-299-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUCCESS FOR ALL OF FLORIDA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "SILAS",
"authorized_official_middle_name": "SWAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-299-0006",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER",
"identifier": "686101798",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER",
"identifier": "686101796",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.