Organization Active NPI

Medical Allied Nursing Academy, Inc.

Doing business as Medical Allied Nursing

  • Skilled Nursing Facility
  • Orlando, FL
National Provider Identifier
1366983140
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
31400000X Issued in FL
Legal business name
MEDICAL ALLIED NURSING ACADEMY, INC.
Doing business as
Medical Allied Nursing
Practice address
750 Plaza Orange Blossom Trail
Suite 264
Orlando, FL 32805
Phone
(407) 440-8696
Fax
(407) 440-8696
NPI assigned
Mar 14, 2017
Last updated
Mar 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Kathiana Ann Bazile, CNA
Title
President /Administrator
Phone
(407) 440-8696

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X NR 12345
Skilled Nursing Facility 314000000X FL
Skilled Nursing Facility 314000000X 31400000X FL Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X P13000025575 FL

Addresses

Primary practice location

750 Plaza Orange Blossom Trail
Suite 264
Orlando, FL 32805

Mailing address

928 Spring Lake SQ
Winter Haven, FL 33881-1352
Phone (407) 440-8696

Other names 1

  • Medical Allied Nursing Doing business as

National Provider Directory

National Provider Directory

Locations

750 S Orange Blossom Trl
Ste 264
Orlando, FL 32805
Phone (321) 558-7044

928 Spring Lake Sq
Winter Haven, FL 33881

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1366983140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 SPRING LAKE SQ",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811352",
            "telephone_number": "407-440-8696",
            "fax_number": "407-440-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 PLAZA ORANGE BLOSSOM TRAIL",
            "address_2": "SUITE 264",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32805",
            "telephone_number": "407-440-8696",
            "fax_number": "407-440-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ALLIED NURSING ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "BAZILE",
        "authorized_official_first_name": "KATHIANA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT /ADMINISTRATOR",
        "authorized_official_telephone_number": "407-440-8696",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": "NR 12345",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "31400000X",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "P13000025575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Allied Nursing",
            "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 Mar 14, 2017; 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.