Active NPI
Ocoee1818 Opco, LLC
- Assisted Living Facility
- Ocoee, FL
National Provider Identifier
1164052551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- OCOEE1818 OPCO, LLC
- Practice address
- 80 N Clarke Rd
Ocoee, FL 34761-9163 - Phone
- (407) 299-2170
- NPI assigned
- Jan 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanne Grzybowski
- Title
- Controller
- Phone
- (706) 691-9308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
80 N Clarke Rd
Ocoee, FL 34761-9163
Mailing address
80 N Clarke Rd
Ocoee, FL 34761-9163
Phone (407) 299-2170
Other names 1
- Madison at Ocoee
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0965538 | Madison at Ocoee | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579824000000",
"number": "1164052551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 N CLARKE RD",
"city": "OCOEE",
"state": "FL",
"postal_code": "347619163",
"telephone_number": "407-299-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 N CLARKE RD",
"city": "OCOEE",
"state": "FL",
"postal_code": "347619163",
"telephone_number": "407-299-2170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCOEE1818 OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-24",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A",
"authorized_official_last_name": "GRZYBOWSKI",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "706-691-9308"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Madison at Ocoee",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.