Tri-City Adult Day Care, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

TRI-CITY ADULT DAY CARE, INC.

Practice address

2046 Classique LN
Tavares, FL 32778-5787

Phone

(352) 609-5147

Fax

(352) 388-3145

NPI assigned

Mar 31, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Dillia Donna Squires

Title

Ceo/ Administrator

Phone

(352) 217-7615

Specialties & licenses 5

Addresses

Tax ID family

Tri-City Adult Day Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Tri-City Adult Day Care, Inc.

  • Nursing Care Agency
  • Tavares, FL
  • NPI 1336920610
  NPD tax ID
• Tri-City Adult Day Care, Inc.

  • Attendant Care Provider
  • Eustis, FL
  • NPI 1366041899
  NPD tax ID

Locations

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1962030338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 CLASSIQUE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785787",
            "telephone_number": "352-609-5147",
            "fax_number": "352-388-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 CLASSIQUE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785787",
            "telephone_number": "352-609-5147",
            "fax_number": "352-388-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "DILLIA",
        "authorized_official_middle_name": "DONNA",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "352-217-7615",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feras Toumeh, M.D.
• Kim Phung Tran-Bardell
• Dan Nicolas Tran, MD
• Treasured Hearts Lab Services LLC
• Tri-City Adult Day Care, Inc.
• Triad Psychological Services, P.a.
• Tru3 Laboratory LLC
• David Truong, DMD
• Mary L Tucker
• Rambabu Tummala, MD

• Adult Day Care Clinic/Center in Tavares, FL
• Providers in Tavares, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.