Dr. Phillips Residential Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11921 Issued in FL

Legal business name

DR. PHILLIPS RESIDENTIAL LIVING FACILITY

Practice address

6311 Vineland Rd
Orlando, FL 32819-7811

Phone

(407) 226-3686

Fax

(407) 226-3686

NPI assigned

Apr 3, 2013

Last updated

Apr 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Corazon Celestino

Title

Owner/Administrator

Phone

(407) 451-9929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1013250570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 VINELAND ROAD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "407-226-3686",
            "fax_number": "407-226-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197811",
            "telephone_number": "407-226-3686",
            "fax_number": "407-226-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PHILLIPS RESIDENTIAL LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "CELESTINO",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "407-451-9929",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.