Donglen Investments LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12867 Issued in FL

Legal business name

DONGLEN INVESTMENTS LLC

Practice address

1010 Darlington CT
Kissimmee, FL 34758-3049

Phone

(407) 201-7259

Fax

(866) 421-5678

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Donavon Johnson

Title

Owner

Phone

(954) 559-0566

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SILVER CREST HOME Doing business as

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1336690692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 IMPERIAL EAGLE PL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347461914",
            "telephone_number": "954-559-0566",
            "fax_number": "866-421-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DARLINGTON CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583049",
            "telephone_number": "407-201-7259",
            "fax_number": "866-421-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONGLEN INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONAVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-559-0566"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018809900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVER CREST HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Dominicci-Castillo, MD
• Xiomara Donate, BA,MA
• Diorella Filma Bascos Donato, BSN, RN
• Madeline Donato
• Donegan Square Health Care Associates LLC
• Robin Donis
• Kristin Elizabeth Donley
• Kathleen Grace Donohue, LMHC
• Taylor Donovan
• Sheeja Dora Bhai, APRN

• 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 Oct 20, 2016; 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.