Organization Active NPI

Hickory Hill Leisure Living LLC

  • Community/Behavioral Health Agency
  • Clermont, FL
National Provider Identifier
1043170129
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HICKORY HILL LEISURE LIVING LLC
Practice address
15617 Hickory LN
Clermont, FL 34715-9205
Phone
(407) 595-4031
NPI assigned
Nov 12, 2025
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Victoria Pisciottano
Title
Administrator
Phone
(407) 595-4031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

15617 Hickory LN
Clermont, FL 34715-9205

Mailing address

15617 Hickory LN
Clermont, FL 34715-9205
Phone (407) 595-4031

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1043170129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15617 HICKORY LN",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347159205",
            "telephone_number": "407-595-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15617 HICKORY LN",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347159205",
            "telephone_number": "407-595-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY HILL LEISURE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "PISCIOTTANO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-595-4031"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.