Wymore Al Operator, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WYMORE AL OPERATOR, LLC

Practice address

740 N. Wymore Rd
Maitland, FL 32751

Phone

(407) 628-0123

Fax

(407) 628-5525

NPI assigned

Nov 16, 2021

Organization subpart

No

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

Authorized official

Name

Karen Decker

Title

Executive Director

Phone

(407) 628-0123

Specialties & licenses 1

Addresses

Other names 1

• Ambiance at Maitland Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1033875828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 BUSINESS PARK LN",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465615",
            "telephone_number": "407-920-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N. WYMORE RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-628-0123",
            "fax_number": "407-628-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYMORE AL OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-628-0123"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "executivedirector@ambiancemaitland.com",
            "affiliation": "N",
            "endpointDescription": "community email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "740 N. Wymore Rd",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ambiance at Maitland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ambiance at Maitland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Maitland, FL
• Providers in Maitland, 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 Mar 22, 2023; 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.