OrganizationActive
Polk County Board of County Commissioners
NPI 1396906707 · Alzheimer Center (Dementia Center) · Bartow, FL
Provider details
- NPI number
- 1396906707
- Entity type
- Organization
- Primary specialty
- Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel (sam) Johnson, Chairman(863) 534-6049
- License
- 390 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
615 N Jackson Ave
Bartow, FL 33830-3813
Phone: (863) 534-0393
Street-level locationGet directions
Mailing address
2135 Marshall Edwards Dr
Bartow, FL 33830-6757
Other names (DBA / former)
- Doing business as
- Charles R. Richardson Adult Day Care Center
Registry dates
- Enumerated
- 2008-06-18
- Last updated
- 2008-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.