Organization Active NPI

Success for All of Florida, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Winter Haven, FL
National Provider Identifier
1942462841
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Jul 1, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
686101798OtherFLMEDICAID WAIVER
686101796OtherFLMEDICAID WAIVER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.