Active NPI
Salem Agency LLC
- Nursing Care Agency
- Orlando, FL
National Provider Identifier
1114675345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- SALEM AGENCY LLC
- Practice address
- 4451 Old Winter Garden Rd
Orlando, FL 32811-4244 - Phone
- (407) 867-9822
- NPI assigned
- Mar 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pierre S Dormevil
- Title
- Owner/MGR
- Phone
- (407) 867-9822
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | Primary | ||
| Student Health Clinic/Center | 261QS1000X | |||
| Inpatient Hospice | 315D00000X |
Addresses
Primary practice location
4451 Old Winter Garden Rd
Orlando, FL 32811-4244
Mailing address
1424 Center St
Ocoee, FL 34761-4019
Phone (407) 867-9822
National Provider Directory
National Provider DirectoryLocations
4451 Old Winter Garden Rd
Orlando, FL 32811
Phone (407) 867-9822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651881600000",
"number": "1114675345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 CENTER ST",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614019",
"telephone_number": "407-867-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4451 OLD WINTER GARDEN RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328114244",
"telephone_number": "407-867-9822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALEM AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-16",
"last_updated": "2022-05-07",
"certification_date": "2022-05-07",
"status": "A",
"authorized_official_last_name": "DORMEVIL",
"authorized_official_first_name": "PIERRE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/MGR",
"authorized_official_telephone_number": "407-867-9822"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": false
}
],
"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 May 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.