NPIMap

Organization Active NPI

Epic Iconic Health Care LLC

  • Developmentally Disabled Services Day Training Agency
  • Altamonte Springs, FL
National Provider Identifier
1366134330
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
EPIC ICONIC HEALTH CARE LLC
Practice address
499 N State Road 434 Ste 2179
Altamonte Springs, FL 32714-1006
Phone
(403) 723-9658
NPI assigned
May 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Shelando Downer
Title
Owner
Phone
(407) 723-9658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

499 N State Road 434 Ste 2179
Altamonte Springs, FL 32714-1006

Mailing address

499 N State Road 434 Ste 2179
Altamonte Springs, FL 32714-1006
Phone (403) 723-9658

National Provider Directory

National Provider Directory
Tax ID family
Epic Iconic Health Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

499 N State Road 434
Ste 2179
Altamonte Springs, FL 32714
Phone (403) 723-9658

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1366134330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 N STATE ROAD 434 STE 2179",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141006",
            "telephone_number": "403-723-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 N STATE ROAD 434 STE 2179",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141006",
            "telephone_number": "403-723-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC ICONIC HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "DOWNER",
        "authorized_official_first_name": "SHELANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-723-9658"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.