Angelika's Countryside Adult Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906571 Issued in FL

Legal business name

ANGELIKA'S COUNTRYSIDE ADULT CARE HOME

Practice address

12102 Cromwell Way
Spring Hill, FL 34609-9640

Phone

(352) 610-0121

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Angelika E Gieck

Title

Owner

Phone

(352) 610-0121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1275954497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12102 CROMWELL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099640",
            "telephone_number": "352-610-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12102 CROMWELL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099640",
            "telephone_number": "352-610-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIKA'S COUNTRYSIDE ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "GIECK",
        "authorized_official_first_name": "ANGELIKA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-610-0121"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.