Organization Active NPI

Lizardo Quality Care LLC

  • Home Health Agency
  • Pine Castle, FL
National Provider Identifier
1396400529
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIZARDO QUALITY CARE LLC
Practice address
7726 Winegard Rd Ste 26
Pine Castle, FL 32809-7147
Phone
(407) 863-0778
Fax
(407) 863-0778
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Ms. Johanny Lizardo, CNS
Title
Clinical Nurse Specialist
Phone
(407) 714-5684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7726 Winegard Rd Ste 26
Pine Castle, FL 32809-7147

Mailing address

4252 Pershing Pointe PL Apt 8
Orlando, FL 32822-4063
Phone (407) 714-5684

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1396400529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 PERSHING POINTE PL APT 8",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224063",
            "telephone_number": "407-714-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7726 WINEGARD RD STE 26",
            "city": "PINE CASTLE",
            "state": "FL",
            "postal_code": "328097147",
            "telephone_number": "407-863-0778",
            "fax_number": "407-863-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZARDO QUALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-10-30",
        "status": "A",
        "authorized_official_last_name": "LIZARDO",
        "authorized_official_first_name": "JOHANNY",
        "authorized_official_title_or_position": "CLINICAL NURSE SPECIALIST",
        "authorized_official_telephone_number": "407-714-5684",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Castle, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.