LAKE COUNTY ADULT ACTIVITY CENTER INC (NPI# 1447603303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447603303 |
Entity Type | Organization |
Organization Name | LAKE COUNTY ADULT ACTIVITY CENTER INC |
Other Organization Name | LAKE COUNTY ADULT DAY CARE |
Practice Address |
1934 N Donnelly St Suite B Mount Dora FL 32757 |
Practice Telephone | 3524046098 |
Practice Fax Number | 3524046475 |
Mailing Telephone | 3524046098 |
Mailing Fax Number | 3524046475 |
Enumeration Date | 2016-07-15 |
Last Update Date | 2016-07-15 |
Authorized Official Name | MRS. CAROLINA MARIA GARCIA (FACILITY DIRECTOR) |
Authorized Official Telephone | 3524046098 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | 9285 | FL | Respite Care Facility |
Other Name | Type Code |
---|---|
Lake County Adult Day Care | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356698195 | Lake County Adult Activity Center Inc | Clinic/Center | 355 Citrus Tower Blvd Ste 102, Clermont, FL 34711-6501 | 2012-08-10 |
Street Address |
1934 N DONNELLY ST SUITE B |
City | MOUNT DORA |
State | FL |
Zip Code | 32757 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093324824 | Cypress Grove Counseling Center LLC | Counselor | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, FL 32757 | 2020-07-28 |
1790327286 | Alisha Dawn Bateman | Nurse Practitioner | 7678 Lake Ola Dr., Mount Dora, FL 32757 | 2019-10-16 |
1306496153 | Carehere LLC | Family Medicine | Carehere Clinic- City of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 | 2019-09-13 |
1871008680 | Sonya Quiroz | Behavior Technician | 21038 Niles Ave, Mount Dora, FL 32757 | 2017-12-04 |
1043737661 | Erin N Booth | Behavior Technician | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | 2017-08-24 |
1053850073 | Sunshine Recovery Network, Inc | Community/Behavioral Health | 632 E 5th Ave, Mount Dora, FL 32757 | 2017-02-23 |
1336684661 | Catherine Lim Panlilio | Physical Therapist | 300 Brookfield Avenue, Mount Dora, FL 32757 | 2016-12-22 |
1659815306 | Mount Dora Modern Dentistry, Pa | Dentist | 17365 Us Hwy 441, Eustis, FL 32757 | 2016-12-15 |
1871955724 | Sagir Patel | Dentist | 17365 Us Highway 441, Mount Dora, FL 32757 | 2016-03-22 |
1992198204 | Wendy Donald | Counselor | 6215 Holly St, Mount Dora, FL 32757 | 2015-03-11 |
Find all providers in zip 32757 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
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1487211645 | Adl Familycare Services Inc. | Respite Care | 19063 Sw 135th Ave, Miami, FL 33177-7170 | 2019-05-23 |
1710449236 | Misty Terrell Brown Richardson | Respite Care | 2786 Trilby Ave, North Port, FL 34286-4985 | 2019-04-03 |
Find all providers with the same taxonomy |
City | MOUNT DORA |
Zip Code | 32757 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.