NPIMap

Organization Active NPI

Alta Healthcare Group, Inc

Doing business as Summit Care

  • Assisted Living Facility
  • Orlando, FL
National Provider Identifier
1356658421
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10010 Issued in FL
Legal business name
ALTA HEALTHCARE GROUP, INC
Doing business as
Summit Care
Practice address
1200 Juliana PL
Orlando, FL 32807-1322
Phone
(407) 435-2402
Fax
(407) 695-7720
NPI assigned
Sep 9, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Albert Green
Title
Administrator
Phone
(407) 435-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10010 FL Primary

Addresses

Primary practice location

1200 Juliana PL
Orlando, FL 32807-1322

Mailing address

4279 Fox Hollow Cir
Casselberry, FL 32707-5240
Phone (407) 435-2402

Other identifiers 1

IdentifierTypeStateIssuer
683613500MedicaidFL

Other names 1

  • Summit Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aiden Springs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1356658421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4279 FOX HOLLOW CIR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075240",
            "telephone_number": "407-435-2402",
            "fax_number": "407-695-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JULIANA PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071322",
            "telephone_number": "407-435-2402",
            "fax_number": "407-695-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA HEALTHCARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-435-2402"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683613500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.