Active NPI
Lovely Robert
- Adult Care Home Facility
- Kissimmee, FL
National Provider Identifier
1093280877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6906960
- Practice address
- 927 Gloucester CT
Kissimmee, FL 34758-2609 - Phone
- (863) 205-0016
- Fax
- (407) 530-4278
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6906960 | FL | Primary |
Addresses
Primary practice location
927 Gloucester CT
Kissimmee, FL 34758-2609
Mailing address
927 Gloucester CT
Kissimmee, FL 34758-2609
Phone (863) 205-0016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906960 | FL | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1093280877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 GLOUCESTER CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347582609",
"telephone_number": "863-205-0016",
"fax_number": "407-530-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 GLOUCESTER CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347582609",
"telephone_number": "863-205-0016",
"fax_number": "407-530-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERT",
"first_name": "LOVELY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6906960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.