Organization Active NPI

Your Life's Choices, Inc. of Central Florida

  • Developmentally Disabled Services Day Training Agency
  • Hudson, FL
National Provider Identifier
1043459605
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
682951196 Issued in FL
Legal business name
YOUR LIFE'S CHOICES, INC. OF CENTRAL FLORIDA
Practice address
12615 College Hill Dr
Hudson, FL 34667-1849
Phone
(727) 868-2779
Fax
(727) 869-0633
NPI assigned
Feb 5, 2009
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Lenny S. Carroll
Title
Administrator
Phone
(727) 868-2779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 682951196 FL Primary

Addresses

Primary practice location

12615 College Hill Dr
Hudson, FL 34667-1849

Mailing address

12615 College Hill Dr
Hudson, FL 34667-1849
Phone (727) 868-2779

Other identifiers 3

IdentifierTypeStateIssuer
229763OtherFLAHCA HOMEMAKER & COMPANION SERVICES
682951196MedicaidFL
682951198MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1043459605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 COLLEGE HILL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671849",
            "telephone_number": "727-868-2779",
            "fax_number": "727-869-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 COLLEGE HILL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671849",
            "telephone_number": "727-868-2779",
            "fax_number": "727-869-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR LIFE'S CHOICES, INC. OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LENNY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-868-2779"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "682951196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HOMEMAKER & COMPANION SERVICES",
            "identifier": "229763",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682951196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682951198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.