Organization Active NPI

Domdidi Project

  • Case Management Agency
  • Orlando, FL
National Provider Identifier
1356785380
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DOMDIDI PROJECT
Practice address
2652 Robert Trent Jones Dr
Orlando, FL 32835-6290
Phone
(407) 704-5608
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Dominique Mathurin
Title
Ceo
Phone
(407) 704-5608

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2652 Robert Trent Jones Dr
Orlando, FL 32835-6290

Mailing address

2652 Robert Trent Jones Dr
Orlando, FL 32835-6290
Phone (407) 704-5608

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1356785380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 ROBERT TRENT JONES DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356290",
            "telephone_number": "407-704-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 ROBERT TRENT JONES DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356290",
            "telephone_number": "407-704-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMDIDI PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "MATHURIN",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-704-5608"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 22, 2013; 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.