Organization Active NPI

Salem Agency LLC

  • Nursing Care Agency
  • Orlando, FL
National Provider Identifier
1114675345
Registry record updated May 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
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

Updated by the provider on May 7, 2022

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)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.