Organization Active NPI

Extending Lovable Living Assistance, LLC

  • Assisted Living Facility
  • Orlando, FL
National Provider Identifier
1124458799
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12433 Issued in FL
Legal business name
EXTENDING LOVABLE LIVING ASSISTANCE, LLC
Practice address
14514 Storys Ford Rd
Orlando, FL 32832-6400
Phone
(321) 245-7096
Fax
(321) 245-7091
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Mrs. Barbara Levette Robinson
Title
Administrator
Phone
(321) 245-7096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12433 FL Primary

Addresses

Primary practice location

14514 Storys Ford Rd
Orlando, FL 32832-6400

Mailing address

14514 Storys Ford Rd
Orlando, FL 32832-6400
Phone (321) 245-7096

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1124458799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14514 STORYS FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326400",
            "telephone_number": "321-245-7096",
            "fax_number": "321-245-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14514 STORYS FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326400",
            "telephone_number": "321-245-7096",
            "fax_number": "321-245-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDING LOVABLE LIVING ASSISTANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LEVETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-245-7096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12433",
            "primary": true
        }
    ],
    "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 Nov 19, 2013; 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.