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ADD TO LIFE ADULT DAY CARE INC. NPI 1295036424


NPI Information

NPI: 1295036424
Provider Name: ADD TO LIFE ADULT DAY CARE, INC.
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
5877 OLD TIMUQUANA RD
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 779-1777
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ADD TO LIFE ADULT DAY CARE, INC. is a developmental disabilities clinic center in Jacksonville, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). ADD TO LIFE ADULT DAY CARE, INC. NPI is 1295036424. The provider is registered as an organization entity type.

The provider's business location address is:

5877 OLD TIMUQUANA RD
JACKSONVILLE, FL
ZIP 32210-888
Phone: (904) 779-1777
Fax: (904) 779-1711

The provider's authorized official is Cindy Blantz Dixon .
The authorized official title is Director and has the following contact phone number (904) 779-1777.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 11/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental Disabilities8840FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1675886098MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.