NPIMap

Organization Active NPI

J & G Florida Enterprises

  • Assisted Living Facility
  • Mount Dora, FL
National Provider Identifier
1154774537
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10362 Issued in FL
Legal business name
J & G FLORIDA ENTERPRISES
Practice address
4055 Lake Forest St
Mount Dora, FL 32757-5211
Phone
(352) 735-4361
Fax
(352) 735-4361
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Mr. John Morris
Title
Executive Director
Phone
(407) 740-8815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10362 FL Primary

Addresses

Primary practice location

4055 Lake Forest St
Mount Dora, FL 32757-5211

Mailing address

2221 Lee Rd Ste 13
Winter Park, FL 32789-1864
Phone (407) 740-8815

Other identifiers 1

IdentifierTypeStateIssuer
010546800MedicaidFL

Other names 1

  • Sutton Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
J G Florida Enterprises4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1154774537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LEE RD STE 13",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891864",
            "telephone_number": "407-740-8815",
            "fax_number": "407-740-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 LAKE FOREST ST",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575211",
            "telephone_number": "352-735-4361",
            "fax_number": "352-735-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & G FLORIDA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-740-8815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010546800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutton Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.