Organization Active NPI

Patricia'S Rock

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1144687161
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATRICIA'S ROCK
Practice address
425 W Colonial Dr
201
Orlando, FL 32804-6863
Phone
(904) 566-1975
NPI assigned
Jan 21, 2016
Organization subpart
Yes
Parent organization
PATRICIA'S ROCKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Delisa Bonaparte
Title
Owner
Phone
(904) 566-1975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

425 W Colonial Dr
201
Orlando, FL 32804-6863

Mailing address

425 W Colonial Dr
201
Orlando, FL 32804-6863
Phone (904) 566-1975

Other identifiers 1

IdentifierTypeStateIssuer
009272800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Patricia'S Rock2 organizations share this tax ID, including this one
Part of
Patricia'S Rock

Other organizations with this tax ID 1

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

Locations

425 W Colonial Dr
Ste 201
Orlando, FL 32804
Phone (904) 566-1975

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1144687161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR",
            "address_2": "201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "904-566-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR",
            "address_2": "201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "904-566-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA'S ROCK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRICIA'S ROCK",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "BONAPARTE",
        "authorized_official_first_name": "DELISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-566-1975"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009272800",
            "state": "FL"
        }
    ],
    "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 Jan 21, 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.