LAKE COUNTY ADULT ACTIVITY CENTER INC


Address: 1934 N Donnelly St, Suite B, Mount Dora, FL 32757
Phone: 3524046098

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385H00000X Respite Care 9285 FL Respite Care Facility

Other Provider/Organization Names

Other Name Type Code
Lake County Adult Day Care Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1934 N DONNELLY ST
SUITE B
City MOUNT DORA
State FL
Zip Code 32757

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1871008680 Sonya Quiroz Behavior Technician 21038 Niles Ave, Mount Dora, FL 32757 2017-12-04
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1053850073 Sunshine Recovery Network, Inc Community/Behavioral Health 632 E 5th Ave, Mount Dora, FL 32757 2017-02-23
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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

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NPI Name Taxonomy Address Enumeration
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1659994499 All Around Quality Care Corporation Respite Care 10935 Whitecap Dr, Riverview, FL 33579-7177 2020-05-27
1366065443 Positive Health and Wellness Respite Care 214 Brazilian Ave Ste 200l, Palm Beach, FL 33480-4676 2020-05-22
1851914493 Simmons Care Services Respite Care 67 Azalea Trl, Havana, FL 32333-5135 2020-05-18
1427683226 Abuelo Feliz Home 2 LLC Respite Care 4535 W Jean St, Tampa, FL 33614-3610 2020-03-12
1225660038 Angels With Care LLC Respite Care 206 Walker Ave Sw, Live Oak, FL 32064-2142 2020-02-10
1750913760 2 God B Thy Glory 4 Healing Angels Respite Care 5553 #1 Springhill Dr, Orlando, FL 32808 2020-02-07
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
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Competitor

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City MOUNT DORA
Zip Code 32757

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Dataset Information

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.

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