NPIMap

Organization Active NPI

Nicholas Cummings Dba Quality Care Living Phase I

Doing business as Quality Care Living Phase I

  • Home Health Agency
  • Mount Dora, FL
National Provider Identifier
1336647940
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NICHOLAS CUMMINGS DBA QUALITY CARE LIVING PHASE I
Doing business as
Quality Care Living Phase I
Practice address
1805 N Orange St
Mount Dora, FL 32757-3013
Phone
(352) 504-7479
Fax
(352) 735-1904
NPI assigned
Jan 29, 2018
Last updated
Jan 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Nicholas CummingsNPI 1265930739
Title
Owner/Provider
Phone
(352) 504-7479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

1805 N Orange St
Mount Dora, FL 32757-3013

Mailing address

1805 N Orange St
Mount Dora, FL 32757-3013
Phone (352) 504-7479

Other identifiers 1

IdentifierTypeStateIssuer
018025200MedicaidFL

Other names 1

  • Quality Care Living Phase I Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1336647940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N ORANGE ST",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573013",
            "telephone_number": "352-504-7479",
            "fax_number": "352-735-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N ORANGE ST",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573013",
            "telephone_number": "352-504-7479",
            "fax_number": "352-735-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS CUMMINGS DBA QUALITY CARE LIVING PHASE I",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "352-504-7479"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018025200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Care Living Phase I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.