Organization Active NPI

Positive Assistance, Inc.

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1023608999
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
POSITIVE ASSISTANCE, INC.
Practice address
7156 W Colonial Dr
Orlando, FL 32818-6751
Phone
(407) 993-6193
NPI assigned
Jan 24, 2021
Last updated
Jul 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Mr. Andre Antenor
Title
Ceo
Phone
(863) 242-3322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7156 W Colonial Dr
Orlando, FL 32818-6751

Mailing address

7156 W Colonial Dr
Orlando, FL 32818-6751
Phone (407) 412-6569

Other practice location 1

750 S Orange Blossom Trl Ste 222
Orlando, FL 32805-3195
Phone (877) 801-4086

Other identifiers 2

IdentifierTypeStateIssuer
114106200MedicaidFL
85-8018130580C-7OtherFL85-8018130580C-7

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@positiveassistance.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220708002497 FL Part B Supplier - Clinic/Group Practice 0648650598 Receives reassigned benefits from 4 practitioners
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2168077Positive Assistance Inc750 S Orange Blossom Trail Suite 222, Orlando, FL 32805Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory

Locations

7156 W Colonial Dr
Orlando, FL 32818
Phone (407) 412-6569

750 S Orange Blossom Trl
Ste 222
Orlando, FL 32805
Phone (561) 278-3272

Interoperability endpoints

  • Direct secure messaging: info@positiveassistance.org

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1023608999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7156 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186751",
            "telephone_number": "407-412-6569",
            "fax_number": "407-930-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7156 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186751",
            "telephone_number": "407-993-6193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 S Orange Blossom Trl Ste 222",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328053195",
            "country_code": "US",
            "telephone_number": "877-801-4086",
            "fax_number": "407-930-9443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POSITIVE ASSISTANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "ANTENOR",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-242-3322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114106200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "85-8018130580C-7",
            "identifier": "85-8018130580C-7",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@positiveassistance.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7156 W Colonial Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328186751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.