Organization Active NPI

Fremont, Inc.

  • Assisted Living Facility (Mental Illness)
  • Winter Park, FL
National Provider Identifier
1114320488
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL 9198 Issued in FL
Legal business name
FREMONT, INC.
Practice address
909 Fremont Ave
Winter Park, FL 32789-1729
Phone
(407) 599-5335
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Arnold Santos
Title
Administrator
Phone
(407) 599-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL 9198 FL Primary

Addresses

Primary practice location

909 Fremont Ave
Winter Park, FL 32789-1729

Mailing address

909 Fremont Ave
Winter Park, FL 32789-1729
Phone (407) 599-5335

Other identifiers 1

IdentifierTypeStateIssuer
1402846MedicaidFL

National Provider Directory

National Provider Directory

Locations

909 Fremont Ave
Winter Park, FL 32789
Phone (321) 316-4881

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1114320488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FREMONT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891729",
            "telephone_number": "407-599-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 FREMONT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891729",
            "telephone_number": "407-599-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-599-5335"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL 9198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1402846",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.