Daystar Outreach Community Services Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DAYSTAR OUTREACH COMMUNITY SERVICES INC

Practice address

2722 Cotton CT
Eustis, FL 32726-2078

Phone

(561) 703-7496

NPI assigned

May 31, 2015

Organization subpart

No

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

Authorized official

Name

Mr. George A Lyles

Title

President

Phone

(561) 703-7496

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433030400000",
    "number": "1962882431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 COTTON CT",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262078",
            "telephone_number": "561-703-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 COTTON CT",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262078",
            "telephone_number": "561-703-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSTAR OUTREACH COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-31",
        "last_updated": "2015-05-31",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-703-7496",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmir Baldocchi Da Costa, DMD
• Brandel Nicole Dailey, NP
• Daisys Physical Therapy and Wellness Center Inc
• Barry Daly, ED.D.,LMHC,BCBA-D
• Augustus M Davis Jr., PT
• Brittany De Jan
• Erica Marie Dean, LMT
• Yasmika Dearmon, LPN
• Enidelcia R Deassis
• Mary Dehay

• Case Management Agency in Eustis, FL
• Providers in Eustis, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2015; 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.