Addie'S Adult Family Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906678 Issued in FL

Legal business name

ADDIE'S ADULT FAMILY CARE

Practice address

7608 Copeland Rd
Odessa, FL 33556-3205

Phone

(813) 778-8245

NPI assigned

Jun 3, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Michele Celestine James

Title

Admistrator

Phone

(813) 778-2845

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1982017497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 COPELAND RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563205",
            "telephone_number": "813-778-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 COPELAND RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563205",
            "telephone_number": "813-778-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDIE'S ADULT FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "CELESTINE",
        "authorized_official_title_or_position": "ADMISTRATOR",
        "authorized_official_telephone_number": "813-778-2845",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906678",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "234669",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "FL",
            "license": "234669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Odessa, FL
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.