Organization Active NPI

Central Florida Communities Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Winter Park, FL
National Provider Identifier
1164584082
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
4035096 Issued in FL
Legal business name
CENTRAL FLORIDA COMMUNITIES INC
Practice address
3664 Howell Branch Court
Winter Park, FL 32792-1701
Phone
(407) 671-1115
Fax
(407) 671-6043
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Mr. Kenneth H. Schultz
Title
President-Dsi Management (MGMT. Co)
Phone
(407) 645-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 4035096 FL Primary

Addresses

Primary practice location

3664 Howell Branch Court
Winter Park, FL 32792-1701

Mailing address

1890 State Road 436
Suite 300
Winter Park, FL 32792-2285
Phone (407) 645-3211

Other identifiers 1

IdentifierTypeStateIssuer
0285676MedicaidFL

Other names 1

  • Howell Branch Court Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 10G046

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HOWELL BRANCH COURT
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jul 3, 1982
Last certification
Dec 6, 2024
Beds
64
Ownership / control type
Private (non-profit)
Facility address
3664 Howell Branch Court
Winter Park, FL 32792

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0880225Howell Branch Court3664 Howell Branch CT, Winter Park, FL 32792Certificate of waiverDec 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Communities Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3664 Howell Branch Ct
Winter Park, FL 32792
Phone (321) 304-3388

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1164584082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922285",
            "telephone_number": "407-645-3211",
            "fax_number": "407-628-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 HOWELL BRANCH COURT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921701",
            "telephone_number": "407-671-1115",
            "fax_number": "407-671-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA COMMUNITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT-DSI MANAGEMENT (MGMT. CO)",
        "authorized_official_telephone_number": "407-645-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "4035096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285676",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howell Branch Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.