=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427471507
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EUGENIA DELPHINE MAYS ADULT FAMILY CARE HO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2014
-----------------------------------------------------
Last Update Date | 09/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2606 4TH ST E
-----------------------------------------------------
City | BRADENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34208-3813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-580-0622
-----------------------------------------------------
Fax | 941-761-5888
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2606 4TH ST E
-----------------------------------------------------
City | BRADENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34208-3813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-580-0622
-----------------------------------------------------
Fax | 941-761-5888
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 372600000X
-----------------------------------------------------
Taxonomy Name | Adult Companion
-----------------------------------------------------
License Number | 238897
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number | 238897
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 376J00000X
-----------------------------------------------------
Taxonomy Name | Homemaker
-----------------------------------------------------
License Number | 238897
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------