NPIMap

Organization Active NPI

Alta Healthcare Group, Inc

Doing business as Aiden Springs

  • Assisted Living Facility
  • Winter Park, FL
National Provider Identifier
1003123175
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8419 Issued in FL
Legal business name
ALTA HEALTHCARE GROUP, INC
Doing business as
Aiden Springs
Practice address
5520 Howell Branch Rd
Winter Park, FL 32792-9327
Phone
(407) 435-2402
Fax
(407) 695-7720
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Albert Green
Title
Administrator
Phone
(407) 435-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8419 FL Primary

Addresses

Primary practice location

5520 Howell Branch Rd
Winter Park, FL 32792-9327

Mailing address

4279 Fox Hollow Cir
Casselberry, FL 32707-5240
Phone (407) 435-2402

Other identifiers 1

IdentifierTypeStateIssuer
693659889MedicaidFL

Other names 1

  • Aiden Springs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aiden Springs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1003123175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4279 FOX HOLLOW CIR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075240",
            "telephone_number": "407-435-2402",
            "fax_number": "407-695-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929327",
            "telephone_number": "407-435-2402",
            "fax_number": "407-695-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA HEALTHCARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-435-2402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693659889",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aiden Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.