Active NPI
Orlando Lutheran Towers Inc
- Assisted Living Facility
- Orlando, FL
National Provider Identifier
1093560724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ORLANDO LUTHERAN TOWERS INC
- Practice address
- 404 Mariposa St
Orlando, FL 32801-6634 - Phone
- (407) 515-3888
- NPI assigned
- Apr 17, 2024
- Organization subpart
- Yes
- Parent organization
- ORLANDO LUTHERAN TOWERS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerry Shannon Gerrity
- Title
- Chief Operations Officer
- Phone
- (407) 515-3810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
404 Mariposa St
Orlando, FL 32801-6634
Mailing address
300 E Church St
Orlando, FL 32801-3544
Phone (407) 425-1033
Other names 1
- WINDSOR PLACE
National Provider Directory
National Provider Directory- Tax ID family
- Orlando Lutheran Towers Inc
- Part of
- Orlando Lutheran Towers Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Orlando, FL
- NPI 1508863911
-
- Adult Day Care Clinic/Center
- Orlando, FL
- NPI 1588586200
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Orlando, FL
- NPI 1508863911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1093560724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E CHURCH ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013544",
"telephone_number": "407-425-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 MARIPOSA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328016634",
"telephone_number": "407-515-3888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLANDO LUTHERAN TOWERS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORLANDO LUTHERAN TOWERS INC",
"enumeration_date": "2024-04-17",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "GERRITY",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "SHANNON",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "407-515-3810"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WINDSOR PLACE",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.