Adu Livescan Background Screening

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

ADU LIVESCAN BACKGROUND SCREENING

Practice address

110 Spirit Lake Rd Ste 4
Winter Haven, FL 33880-1264

Phone

(863) 206-7960

NPI assigned

May 16, 2024

Last updated

May 16, 2024By 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

Ruthell JenkinsNPI 1902314214

Title

Director

Phone

(678) 517-9990

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ruthell Jenkins

  • Developmentally Disabled Services Day Training Agency
  • Tampa, FL
  • NPI 1902314214
  NPD Authorized official

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1992554430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SPIRIT LAKE RD STE 4",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801264",
            "telephone_number": "863-206-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SPIRIT LAKE RD STE 4",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801264",
            "telephone_number": "863-206-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADU LIVESCAN BACKGROUND SCREENING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "RUTHELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-517-9990"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.