Preservers of Destinies Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PRESERVERS OF DESTINIES INC

Practice address

1621 E Vine St
Kissimmee, FL 34744-3730

Phone

(407) 847-4152

NPI assigned

Aug 17, 2021

Organization subpart

Yes

Parent organization

PRESERVERS OF DESTINIES, INCAs reported in NPPES

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

Authorized official

Name

Marisol Lugo

Title

Ceo

Phone

(407) 847-4152

Specialties & licenses 1

Addresses

Tax ID family

Preservers of Destinies Inc2 organizations share this tax ID, including this one

Part of

Preservers of Destinies Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Preservers of Destinies Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kissimmee, FL
  • NPI 1952793101
  NPD tax ID

Locations

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1114693603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443730",
            "telephone_number": "407-847-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443730",
            "telephone_number": "407-847-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVERS OF DESTINIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESERVERS OF DESTINIES, INC",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-847-4152"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.