Individual provider Active NPI

Anson Delpe, ADMINISTRATOR

  • Assisted Living Facility
  • Kissimmee, FL
National Provider Identifier
1437612157
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11893 Issued in FL
Practice address
1694 Neptune Rd
Kissimmee, FL 34744-4741
Phone
(508) 345-5864
Fax
(407) 386-9515
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11893 FL Primary

Addresses

Primary practice location

1694 Neptune Rd
Kissimmee, FL 34744-4741

Mailing address

1694 Neptune Rd
Kissimmee, FL 34744-4741
Phone (508) 345-5864

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

LicenseStateTypeSpecialty
11893FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neptune Manor Care Home Assisted Living Facility Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1437612157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 NEPTUNE RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444741",
            "telephone_number": "508-345-5864",
            "fax_number": "407-386-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 NEPTUNE RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444741",
            "telephone_number": "508-345-5864",
            "fax_number": "407-386-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELPE",
        "first_name": "ANSON",
        "name_prefix": "Mr.",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11893",
            "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 Apr 9, 2019; 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.