Central Florida Elder Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CENTRAL FLORIDA ELDER CARE, LLC

Practice address

127 Leon CT
Kissimmee, FL 34743-7014

Phone

(321) 245-0414

Fax

(321) 236-7924

NPI assigned

Jan 26, 2020

Last updated

Jan 26, 2020By 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

Mr. Imtiaz Khan

Title

Administrator

Phone

(321) 245-0414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579996800000",
    "number": "1306476627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15009 LAKE AZURE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244932",
            "telephone_number": "321-245-0414",
            "fax_number": "321-236-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LEON CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437014",
            "telephone_number": "321-245-0414",
            "fax_number": "321-236-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA ELDER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IMTIAZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-245-0414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central Florida Medical Equipment Corp.
• Central Florida Neurology
• Central Florida Pediatric & Adult Therapy Services, Inc.

• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; 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.