OUTREACH COMMUNITY CARE NETWORK
NPI 1720260722
Case Management in Daytona Beach, FL

Q: What is Outreach Community Care Network's NPI number?

The NPI number for Outreach Community Care Network is 1720260722. It was assigned to this organization in the NPPES registry on November 30, 2007.

Q: What is Outreach Community Care Network's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Active since November 30, 2007CLIA 10D1053225 · Waiver

240 N FREDERICK AVE, SUITE A, DAYTONA BEACH, FL 32114(386) 255-5569(386) 257-1245 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Outreach Community Care Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUTREACH COMMUNITY CARE NETWORK (NPI 1720260722) is a healthcare organization registered as a case management in Daytona Beach, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Loretta Jennings, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720260722

Entity TypeOrganization

Primary Taxonomy251B00000X

Legal Business NameOUTREACH COMMUNITY CARE NETWORK

Location Address240 N FREDERICK AVE, SUITE ADaytona Beach, FL 32114

Mailing AddressPo Box 9177Daytona Beach, FL 32120-9177 · (386) 255-5569 · Fax (386) 257-1245

Phone(386) 255-5569

Fax(386) 257-1245

Organization SubpartNo

Authorized OfficialLoretta JenningsExecutive Director · (386) 255-5569

Enumeration DateNovember 30, 2007

✔ NPI 1720260722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase ManagementAgencies

Taxonomy Code251B00000X

Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

240 N FREDERICK AVE, Daytona Beach, FL 32114

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1053225

Outreach Community Care Network · Daytona Beach, FL

Active · expires Apr 17, 2028

CLIA Number10D1053225

Laboratory TypePhysician Office

Certificate Effective DateApril 18, 2026

Certificate Expiration DateApril 17, 2028

Laboratory DirectorChester Wilson

Laboratory Phone(386) 255-5569

Laboratory LocationOutreach Community Care Network240 N Frederick Ave, Daytona Beach, FL 32114

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHESTER WILSON JR. EDD, CAP, CMHP

Counselor (Mental Health)