Active NPI
Central Florida Care Group, Inc.
- Attendant Care Provider
- Kissimmee, FL
National Provider Identifier
1346697463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- CENTRAL FLORIDA CARE GROUP, INC.
- Practice address
- 55 N Doverplum Ave
Kissimmee, FL 34758-3308 - Phone
- (407) 499-4456
- Fax
- (863) 496-2524
- NPI assigned
- May 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tracey-Ann Ortiz
- Title
- President
- Phone
- (407) 202-8279
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | Primary | ||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
55 N Doverplum Ave
Kissimmee, FL 34758-3308
Mailing address
55 N Doverplum Ave
Kissimmee, FL 34758-3308
Phone (407) 499-4456
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015021100 | Medicaid | FL | |
| 017129100 | Medicaid | FL | |
| 111382600 | Medicaid | FL |
Other names 1
- DenTra Group, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Central Florida Care Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Attendant Care Provider
- Lake Wales, FL
- NPI 1396312054
Locations
116 S Rose Ave
Kissimmee, FL 34741
30 Remington Rd
Ste 2
Oakland, FL 34787
Phone (407) 392-1919
55 N Doverplum Ave
Poinciana, FL 34758
Phone (407) 499-4456
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Kissimmee, FL
- NPI 1700037348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1346697463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 N DOVERPLUM AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583308",
"telephone_number": "407-499-4456",
"fax_number": "863-496-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 N DOVERPLUM AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583308",
"telephone_number": "407-499-4456",
"fax_number": "863-496-2524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FLORIDA CARE GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "TRACEY-ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-202-8279",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015021100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017129100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111382600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DenTra Group, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "DenTra Group, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Kissimmee, FL
- Centerwell Senior Primary Care (FL) Inc.
- Centerwell Senior Primary Care (FL) Inc.
- Centerwell Senior Primary Care FL JV PLLC
- Central Avenue Pharmacy LLC
- Central Family & Cosmetics Dentistry
- Central Florida Elder Care, LLC
- Central Florida Home Health Services, Inc
- Central Florida Internists, Inc.
- Central Florida Medical Equipment Corp.
- Central Florida Neurology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.