Fully Alive Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FULLY ALIVE HOMECARE LLC

Practice address

1780 Standing Rock Cir
Winter Garden, FL 34787-8116

Phone

(407) 960-0672

NPI assigned

Dec 5, 2019

Last updated

Dec 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Melisa Vasquez, RN BSN

Title

Don/ Administrator

Phone

(407) 978-9826

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Vasquez Flores, FNP-C

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1346008513
  NPD

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1174160493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 STANDING ROCK CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347878116",
            "telephone_number": "407-960-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 STANDING ROCK CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347878116",
            "telephone_number": "407-960-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLY ALIVE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MELISA",
        "authorized_official_title_or_position": "DON/ ADMINISTRATOR",
        "authorized_official_telephone_number": "407-978-9826",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Helene Fretwell, PHARMD
• Friends With Love Home Care Services LLC
• Carey Theresa Fromberg
• Anthony Serop Froyan
• Fulcrum Clinical Laboratories, Inc
• FWC Perinatal, LLC
• Tabitha Larrine Gadson
• Gabriela Danielle Gagno, PA
• Alexander Elliot Galante, M.D.
• Sophia French Gallardo

• Home Health Agency in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.