Active NPI
Age Inplace Homecare LLC
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1174573257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP1204432
- 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, 2007
- 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
- Joyce Mraz, ARNP/MBR
- Title
- Owner
- Phone
- (407) 381-4395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.