TRI-CITY ADULT DAY CARE, INC. (NPI# 1962030338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962030338 |
| Entity Type | Organization |
| Organization Name | TRI-CITY ADULT DAY CARE, INC. |
| Practice Address |
2046 Classique Ln Tavares FL 32778-5787 |
| Practice Telephone | 3526095147 |
| Practice Fax Number | 3523883145 |
| Mailing Telephone | 3526095147 |
| Mailing Fax Number | 3523883145 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | MRS. DILLIA DONNA SQUIRES (PRESIDENT/ ADMINISTRATOR) |
| Authorized Official Telephone | 3522177615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041899 | Tri-city Adult Day Care, Inc. | Home Health | 827 Vanderbilt Dr, Eustis, FL 32726-5251 | 2020-10-26 |
| Street Address |
2046 CLASSIQUE LN |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-5787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528615952 | Dillia Donna Squires | Clinic/Center | 2046 Classique Ln, Tavares, FL 32778-5787 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528615952 | Dillia Donna Squires | Clinic/Center | 2046 Classique Ln, Tavares, FL 32778-5787 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548019 | Renacer Adult Day Care LLC | Clinic/Center | 1968 Nw 7th St, Miami, FL 33125-3411 | 2020-11-08 |
| 1972104164 | El Prado Senior Club Corp | Clinic/Center | 1800 W 68th St Ste 101-105, Hialeah, FL 33014-4404 | 2020-11-04 |
| 1679174924 | Divine Leisure & Activity Center,llc | Clinic/Center | 6500 W 4th Ave Ste 26, Hialeah, FL 33012-6606 | 2020-11-03 |
| 1659972917 | Hope Family Adult Day Care Center LLC | Clinic/Center | 204 E Mckenzie St Unit A, Punta Gorda, FL 33950-6069 | 2020-11-03 |
| 1487254157 | Universal Adult Day Care Inc | Clinic/Center | 10174 W Flagler St, Miami, FL 33174-1830 | 2020-10-30 |
| 1801496583 | Penate Adult Daycare 3 LLC | Clinic/Center | 18950 Sw 106th Ave Ste 115, Cutler Bay, FL 33157-7699 | 2020-10-30 |
| 1568061885 | All Smiles Senior & Adult Day Care Center | Clinic/Center | 1072 E Venice Ave, Venice, FL 34285-7162 | 2020-10-19 |
| 1679171326 | Constance Pierre Louis Gauthier | Clinic/Center | 812 Dogwood Rd, West Palm Beach, FL 33409-6141 | 2020-10-14 |
| 1871190157 | Shenna Michelle Clyburn | Clinic/Center | 3112 Delaware Ave, Fort Pierce, FL 34947-3531 | 2020-10-08 |
| 1669079323 | Hemo Medika Care LLC | Clinic/Center | 3425 10th St N Ste 1, Naples, FL 34103-3866 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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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.