NPIMap

Organization Active NPI

Allen Healthcare Inc.

Doing business as Firstat Nursing Services

  • Home Health Agency
  • Winter Park, FL
National Provider Identifier
1407996267
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20361096 Issued in FL
Legal business name
ALLEN HEALTHCARE INC.
Doing business as
Firstat Nursing Services
Practice address
1801 Lee Rd
Suite 130
Winter Park, FL 32789-2162
Phone
(407) 629-1100
Fax
(407) 629-4926
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dennis R Allen
Title
President
Phone
(407) 629-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20361096 FL Primary

Addresses

Primary practice location

1801 Lee Rd
Suite 130
Winter Park, FL 32789-2162

Mailing address

1801 Lee Rd
Suite 130
Winter Park, FL 32789-2162
Phone (407) 629-1100

Other names 1

  • FIRSTAT NURSING SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111122000116 FL Part A Provider - Home Health Agency 4082528153 Practice locations: Winter Park, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407996267. Details of each certification follow.

Home health agency certification: CCN 108039

Legal name
ALLEN HEALTHCARE INC.
Doing business as
FIRSTAT NURSING SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 23, 2004
Last certification
Jun 14, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 5, 1998 in FL
Enrollment address
1801 Lee Rd
Ste 130
Winter Park, FL 32789-2163

Care Compare: Home health agency

Medicare Care Compare
Listed as
Firstat Nursing ServicesCCN 108039 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Feb 23, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0882742Firstat Nursing Services1801 Lee Road Suite 130, Winter Park, FL 32789Certificate of waiverMar 18, 2027

National Provider Directory

National Provider Directory

Locations

1801 Lee Rd
Ste 130
Winter Park, FL 32789
Phone (407) 629-1100

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Hopson Individual 5% Or Greater Direct Ownership Interest Jun 5, 1998 50%
Corporate OfficerSecretary Jun 5, 1998 33.3%
Jamie Villablanca Individual 5% Or Greater Direct Ownership InterestPresident Apr 30, 2018 50%
Corporate OfficerPresident Apr 30, 2018 50%
Corporate DirectorPresident Apr 30, 2018 50%
W-2 Managing EmployeePresident Apr 30, 2018 50%

Practitioners & affiliated clinicians

Affiliated clinicians 20

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407996267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LEE RD",
            "address_2": "SUITE 130",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892162",
            "telephone_number": "407-629-1100",
            "fax_number": "407-629-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LEE RD",
            "address_2": "SUITE 130",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892162",
            "telephone_number": "407-629-1100",
            "fax_number": "407-629-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-629-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20361096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRSTAT NURSING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.