Organization Active NPI

Envista Health, LLC

  • In Home Supportive Care Agency
  • Winter Park, FL
National Provider Identifier
1144625252
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
30211637 Issued in FL
Legal business name
ENVISTA HEALTH, LLC
Doing business as
Envista Health
Practice address
1133 Louisiana Ave
Suite 112
Winter Park, FL 32789-2343
Phone
(407) 637-2981
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Ms. Cheryl A Hamilton
Title
President/Ceo
Phone
(813) 252-2224

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 30211637 FL
Nursing Care Agency 251J00000X 30211637 FL
In Home Supportive Care Agency 253Z00000X 30211637 FL Primary

Addresses

Primary practice location

1133 Louisiana Ave
Suite 112
Winter Park, FL 32789-2343

Mailing address

1810 W Kennedy Blvd
Tampa, FL 33606-1645
Phone (407) 252-2224

Other identifiers 2

IdentifierTypeStateIssuer
012169200MedicaidFL
30211637OtherFLAHCA LICENSE

Other names 1

  • Envista Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Envista Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1133 Louisiana Ave
Ste 112
Winter Park, FL 32789
Phone (407) 637-2981

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1144625252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061645",
            "telephone_number": "407-252-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 LOUISIANA AVE",
            "address_2": "SUITE 112",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892343",
            "telephone_number": "407-637-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISTA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "813-252-2224",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "30211637",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "30211637",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012169200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "30211637",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envista Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.