Active NPI
Coleman Adult Family Care Home
- Adult Care Home Facility
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6906682
- Legal business name
- COLEMAN ADULT FAMILY CARE HOME
- Practice address
- 3410 Westford Dr
Apopka, FL 32712-5647 - Phone
- (321) 303-4907
- Fax
- (407) 523-3798
- NPI assigned
- Oct 3, 2014
- Last updated
- Oct 3, 2014
- 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
- Mrs. Dotlyn Salome Coleman, RN
- Title
- Owner
- Phone
- (321) 303-4907
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6906682 | FL | Primary |
Addresses
Primary practice location
3410 Westford Dr
Apopka, FL 32712-5647
Mailing address
3410 Westford Dr
Apopka, FL 32712-5647
Phone (321) 303-4907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142490400 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Tender Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility (Mental Illness)
- Ocoee, FL
- NPI 1255734224
Practitioners & affiliated clinicians
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.
-
- Administrator Registered Nurse
- Apopka, FL
- NPI 1114330354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412294400000",
"number": "1215330295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 WESTFORD DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327125647",
"telephone_number": "321-303-4907",
"fax_number": "407-523-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 WESTFORD DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327125647",
"telephone_number": "321-303-4907",
"fax_number": "407-523-3798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLEMAN ADULT FAMILY CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-03",
"last_updated": "2014-10-03",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "DOTLYN",
"authorized_official_middle_name": "SALOME",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-303-4907",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6906682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142490400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.