Phyllis Duncombe Childcare and Family Resource Center Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

091149 Issued in FL

Legal business name

PHYLLIS DUNCOMBE CHILDCARE AND FAMILY RESOURCE CENTER INC

Practice address

11820 49TH St N
West Palm Beach, FL 33411-9159

Phone

(561) 784-8540

Fax

(561) 784-8540

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Donald Cecil Duncombe

Title

Director

Phone

(561) 784-8540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADULT ALLIANCE AND RESOURCE CENTER Doing business as

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1962710152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 49TH ST N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334119159",
            "telephone_number": "561-784-8540",
            "fax_number": "561-784-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 49TH ST N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334119159",
            "telephone_number": "561-784-8540",
            "fax_number": "561-784-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS DUNCOMBE CHILDCARE AND FAMILY RESOURCE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "DUNCOMBE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CECIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-784-8540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "091149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID AGED AND DISABLED ADULT WAIVER PROVIDER",
            "identifier": "692654196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADULT ALLIANCE AND RESOURCE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.