Greater Vision Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GREATER VISION FAMILY CARE HOME

Practice address

4991 Timber Ridge TRL
Ocoee, FL 34761-8427

Phone

(407) 461-7762

Fax

(407) 614-2420

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Chevon StallworthNPI 1720879547

Title

Ceo

Phone

(407) 461-7762

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chevon Stallworth

  • Licensed Practical Nurse
  • Ocoee, FL
  • NPI 1720879547
  NPD Authorized official

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1124479746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347610918",
            "telephone_number": "407-461-7762",
            "fax_number": "407-614-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 TIMBER RIDGE TRL",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618427",
            "telephone_number": "407-461-7762",
            "fax_number": "407-614-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER VISION FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "CHEVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-461-7762"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilmise Mimise Gowins, LCSW
• Gracefully Aging LLC
• Gracefully Aging LLC
• Gracepoint ABA
• Jessica N Grande, PT, DPT, CSCS
• Greater Vision Healthcare Services, LLC
• Tyler Gregory, DPT
• Eric Griffin
• Meghan L Griffith
• Grit & Grace Counseling & Wellness PLLC

• Adult Care Home Facility in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.