Organization Active NPI

Purple Cactus, LLC

  • Community/Behavioral Health Agency
  • Kissimmee, FL
National Provider Identifier
1194154054
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PURPLE CACTUS, LLC
Practice address
2515 Old Kent Circle
Kissimmee, FL 34758
Phone
(407) 625-0808
NPI assigned
Nov 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Heidi L. Chinlund, MSW
Title
Owner/Director
Phone
(407) 625-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2515 Old Kent Circle
Kissimmee, FL 34758

Mailing address

PO Box 26
Intercession City, FL 33848-0026
Phone (407) 625-0808

National Provider Directory

National Provider Directory
Tax ID family
Purple Cactus LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1194154054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "INTERCESSION CITY",
            "state": "FL",
            "postal_code": "338480026",
            "telephone_number": "407-625-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 OLD KENT CIRCLE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34758",
            "telephone_number": "407-625-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE CACTUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "CHINLUND",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "407-625-0808",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.