Family Connect Life Inc

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

11521 Issued in FL

Legal business name

FAMILY CONNECT LIFE INC

Practice address

7969 Pinehurst Dr
Spring Hill, FL 34606-4330

Phone

(352) 686-8106

Fax

(352) 600-7974

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Dorett Williams

Title

Director

Phone

(352) 686-8106

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1427365345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7969 PINEHURST DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064330",
            "telephone_number": "352-686-8106",
            "fax_number": "352-600-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7969 PINEHURST DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064330",
            "telephone_number": "352-686-8106",
            "fax_number": "352-600-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECT LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DORETT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-686-8106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "FL",
            "license": "11521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• PACE Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.