Active NPI
Dupe Opiah
- Home Health Agency
- Kissimmee, FL
National Provider Identifier
1407208259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 650036411
- Practice address
- 1233 Apopka LN
Kissimmee, FL 34759-5018 - Phone
- (561) 512-7981
- Fax
- (863) 427-6314
- NPI assigned
- Jul 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 650036411 | FL | Primary |
Addresses
Primary practice location
1233 Apopka LN
Kissimmee, FL 34759-5018
Mailing address
1233 Apopka LN
Kissimmee, FL 34759-5018
Phone (561) 315-4133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 650036411 | FL | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1407208259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 APOPKA LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347595018",
"telephone_number": "561-315-4133",
"fax_number": "863-427-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 APOPKA LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347595018",
"telephone_number": "561-512-7981",
"fax_number": "863-427-6314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPIAH",
"first_name": "DUPE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-05",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "650036411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.