Organization Active NPI

Your Home Assisted Living LLC

  • Long-Term Care Clinical Nurse Specialist
  • Sanford, FL
National Provider Identifier
1073489159
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X
Legal business name
YOUR HOME ASSISTED LIVING LLC
Practice address
2005 W Airport Blvd
Sanford, FL 32771-4035
Phone
(407) 314-6599
NPI assigned
Oct 15, 2025
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Nikia Williams, ARNP
Title
Owner
Phone
(407) 314-6599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long-Term Care Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SL0600X Primary

Addresses

Primary practice location

2005 W Airport Blvd
Sanford, FL 32771-4035

Mailing address

1672 Kersley Cir
Lake Mary, FL 32746-1923
Phone (407) 314-6599

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1073489159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 KERSLEY CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461923",
            "telephone_number": "407-314-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W AIRPORT BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714035",
            "telephone_number": "407-314-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HOME ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NIKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-314-6599",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.