NPIMap

Organization Active NPI

Raven Enterprises, LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1093103632
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
IMH12406 Issued in FL
Legal business name
RAVEN ENTERPRISES, LLC
Practice address
1550 Lake Baldwin LN
Suite B
Orlando, FL 32814-6680
Phone
(407) 616-5948
NPI assigned
Jan 6, 2015
Last updated
Jan 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Dorian RaceNPI 1285980326
Title
Owner
Phone
(407) 616-5948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IMH12406 FL Primary

Addresses

Primary practice location

1550 Lake Baldwin LN
Suite B
Orlando, FL 32814-6680

Mailing address

PO Box 532023
Orlando, FL 32853-2023
Phone (407) 616-5948

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1093103632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532023",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328532023",
            "telephone_number": "407-616-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 LAKE BALDWIN LN",
            "address_2": "SUITE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146680",
            "telephone_number": "407-616-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "RACE",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-616-5948"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "IMH12406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.