Jean Herold Fontin

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

8725 Wellesley Lake Dr Apt 203
Orlando, FL 32818-6303

Phone

(407) 360-7309

NPI assigned

Dec 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revival Home Support L.L.C

  • In Home Supportive Care Agency
  • Orlando, FL
  • NPI 1023950615
  NPD (past)
• Revival Home Support L.L.C

  • In Home Supportive Care Agency
  • Orlando, FL
  • NPI 1912849985
  NPD (past)

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1023728615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 WELLESLEY LAKE DR APT 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186303",
            "telephone_number": "407-360-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 WELLESLEY LAKE DR APT 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186303",
            "telephone_number": "407-360-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTIN",
        "first_name": "JEAN",
        "middle_name": "HEROLD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://wa.me/message/5AK2KISFOO4IO1",
            "affiliation": "N",
            "endpointDescription": "Whatsapp link",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Type 1",
            "address_1": "8725 Wellesley Lake Dr Apt 203",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328186303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen Fontanez
• Laura Fontanez, ARNP
• Marizol Fontanez, PA-C
• Rene Fontanez Jr., PTA
• Sheila Fontanillas-Duran
• Food With Care
• Julia Foody
• Ruth Fookes, PA-C
• Mary Michelle Foos
• For Eyes Optical of Coconut Grove

• Home Health Aide in Orlando, FL
• Providers in Orlando, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.