Organization Active NPI

Good Care Rehab& Wellness Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Orlando, FL
National Provider Identifier
1225694953
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
GOOD CARE REHAB& WELLNESS INC
Practice address
885 N Powers Dr Ste B
Orlando, FL 32818-6842
Phone
(407) 668-4847
Fax
(407) 668-4953
NPI assigned
May 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Simonette LouisNPI 1821459959
Title
Administrator
Phone
(407) 716-0219

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)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

885 N Powers Dr Ste B
Orlando, FL 32818-6842

Mailing address

885 N Powers Dr Ste B
Orlando, FL 32818-6842
Phone (407) 668-4847

Other practice location 1

8809 Commodity Cir Ste 3
Orlando, FL 32819-9052
Phone (407) 716-0219

Other practice location 2

8809 Commodity Cir Ste 3
Orlando, FL 32819-9052
Phone (407) 716-0219

Other names 1

  • Good Care Rehab& Wellness Inc Former legal business name

Electronic endpoints 3

TypeEndpointUseAffiliation
SOAP URL ORLANDO Direct
SOAP URL ORLANDO
SOAP URL ORLANDO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2166180Good Care Rehab & Wellness Inc885 North Powers Dr Ste B, Orlando, FL 32818Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1225694953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N POWERS DR STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186842",
            "telephone_number": "407-668-4847",
            "fax_number": "407-668-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N POWERS DR STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186842",
            "telephone_number": "407-668-4847",
            "fax_number": "407-668-4953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8809 Commodity Cir Ste 3",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328199052",
            "country_code": "US",
            "telephone_number": "407-716-0219",
            "fax_number": "407-668-4953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8809 Commodity Cir Ste 3",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328199052",
            "country_code": "US",
            "telephone_number": "407-716-0219",
            "fax_number": "407-668-4953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD CARE REHAB& WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "SIMONETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-716-0219"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ORLANDO",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8809 Commodity Cir Ste 3",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328199052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ORLANDO",
            "affiliation": "N",
            "address_1": "8809 Commodity Cir Ste 3",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328199052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ORLANDO",
            "affiliation": "N",
            "address_1": "8809 Commodity Cir Ste 3",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328199052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Good Care Rehab& Wellness Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Good Care Rehab& Wellness Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.