Zion LW

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ZION LW

Practice address

2109 Putter PL
Kissimmee, FL 34746-3971

Phone

(407) 435-4791

NPI assigned

Feb 29, 2016

Last updated

Jan 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lidice Valencia, CBHCMS, BA, BSNPI 1598172587

Title

Ceo

Phone

(407) 435-4791

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Zion LW Former legal business name

Electronic endpoints 1

Locations

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.

• Lidice Valencia

  • Social Worker
  • Orlando, FL
  • NPI 1598172587

  Case Manager/Care Coordinator

  NPD Authorized official

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1295195527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 PUTTER PL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463971",
            "telephone_number": "407-435-4791",
            "fax_number": "407-264-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 PUTTER PL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463971",
            "telephone_number": "407-435-4791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 W Mockingbird Ln Ste 600W",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752476904",
            "country_code": "US",
            "telephone_number": "407-435-4791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZION LW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "LIDICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-435-4791",
        "authorized_official_credential": "CBHCMS, BA, BS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295195527",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "746004",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102445600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "avast",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2109 Putter Pl",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347463971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Zion LW",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Case Management Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.