Island Adventures Foundation

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

ISLAND ADVENTURES FOUNDATION

Practice address

3215 Brooklyn Ave
Port Charlotte, FL 33952-7215

Phone

(434) 251-4114

NPI assigned

Jul 28, 2022

Last updated

Jul 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Adkins

Title

Ceo

Phone

(434) 251-4114

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1972239275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 BROOKLYN AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339527215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 BROOKLYN AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339527215",
            "telephone_number": "434-251-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ADVENTURES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-251-4114"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wecare@islandadventuresfoundation.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3215 Brooklyn Ave",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339527215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Voluntary or Charitable Agency in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Voluntary or Charitable Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.