Organization Active NPI

Central Florida Quality Care Services, Inc.

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1437199676
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTRAL FLORIDA QUALITY CARE SERVICES, INC.
Practice address
723 E Colonial Dr Ste 200
Orlando, FL 32803-4662
Phone
(407) 478-1368
Fax
(407) 478-1370
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Mr. Vechel Griffon
Title
Owner/Chairperson
Phone
(407) 478-1368

Specialties & licenses 1

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

Addresses

Primary practice location

723 E Colonial Dr Ste 200
Orlando, FL 32803-4662

Mailing address

723 E Colonial Dr Ste 200
Orlando, FL 32803-4662
Phone (407) 478-1368

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090430000113 FL Part A Provider - Home Health Agency 1658429709 Practice locations: Orlando, FL

Home health agency certification: CCN 109607

Legal name
CENTRAL FLORIDA QUALITY CARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 5, 2010
Last certification
Jul 5, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 22, 2004 in FL
Enrollment address
723 E Colonial Dr
Ste 200
Orlando, FL 32803-4662
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Central Florida Quality Care Services IncCCN 109607
Ownership
Proprietary
Certified
Nov 5, 2010
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
10D2002353Central Florida Quality Care Services723 East Colonial Drive - Suite 200, Orlando, FL 32803Certificate of waiverJan 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Quality Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 E New York Ave
Ste 320
Deland, FL 32724
Phone (407) 478-1368

723 E Colonial Dr
Ste 200
Orlando, FL 32803
Phone (407) 478-1368

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

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
Dina Griffon Individual 5% Or Greater Direct Ownership Interest Dec 13, 2017 20%
Vechel Griffon Individual 5% Or Greater Direct Ownership Interest Nov 20, 2004
Corporate Director Apr 23, 2009
W-2 Managing Employee Apr 23, 2009

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1437199676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E COLONIAL DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034662",
            "telephone_number": "407-478-1368",
            "fax_number": "407-478-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E COLONIAL DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034662",
            "telephone_number": "407-478-1368",
            "fax_number": "407-478-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA QUALITY CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFON",
        "authorized_official_first_name": "VECHEL",
        "authorized_official_title_or_position": "OWNER/CHAIRPERSON",
        "authorized_official_telephone_number": "407-478-1368",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.