Active NPI
Cruz Homecare & Educational Services LLC
- Home Health Agency
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CRUZ HOMECARE & EDUCATIONAL SERVICES LLC
- Practice address
- 813 Bryan St
Kissimmee, FL 34741-5411 - Phone
- (407) 548-4228
- NPI assigned
- Jun 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Xiomara Cruz
- Title
- Administrator
- Phone
- (407) 437-9322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
813 Bryan St
Kissimmee, FL 34741-5411
Mailing address
813 Bryan St
Kissimmee, FL 34741-5411
Other practice location 1
150 3rd St SW Ste 105
Winter Haven, FL 33880-2980
Phone (407) 437-9322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10235600 | Medicaid | FL |
Other names 1
- Cruz Homecare & Educational Service
National Provider Directory
National Provider DirectoryLocations
722 Patrick St
Ste 206
Kissimmee, FL 34741
Phone (321) 946-9585
813 Bryan St
Kissimmee, FL 34741
Phone (407) 548-4228
150 3rd St SW
Ste 105
Winter Haven, FL 33880
Phone (407) 437-9322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Kissimmee, FL
- NPI 1720648694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698883200000",
"number": "1407416092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 BRYAN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 BRYAN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415411",
"telephone_number": "407-548-4228"
}
],
"practiceLocations": [
{
"address_1": "150 3rd St SW Ste 105",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338802980",
"country_code": "US",
"telephone_number": "407-437-9322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CRUZ HOMECARE & EDUCATIONAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-17",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "XIOMARA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "407-437-9322"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10235600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cruz Homecare & Educational Service",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Nov 2, 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.