Organization Active NPI

Age Inplace Homecare LLC

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1174573257
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1204432 Issued in FL
Legal business name
AGE INPLACE HOMECARE LLC
Practice address
14234 Anastasia LN
Orlando, FL 32828-4804
Phone
(407) 381-4395
Fax
(407) 282-1453
NPI assigned
May 11, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Joyce Mraz, ARNP/MBR
Title
Owner
Phone
(407) 381-4395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP1204432 FL Primary

Addresses

Primary practice location

14234 Anastasia LN
Orlando, FL 32828-4804

Mailing address

14234 Anastasia LN
Orlando, FL 32828-4804
Phone (407) 381-4395

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1174573257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14234 ANASTASIA LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284804",
            "telephone_number": "407-381-4395",
            "fax_number": "407-282-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14234 ANASTASIA LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284804",
            "telephone_number": "407-381-4395",
            "fax_number": "407-282-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE INPLACE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "MRAZ",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-381-4395",
        "authorized_official_credential": "ARNP/MBR"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1204432",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 4, 2007; 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.