CH Affiliates, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CH AFFILIATES, LLC

Doing business as

Prestige Urgent Care

Practice address

5833 S Goldenrod Rd Ste 5C&D
Orlando, FL 32822-8777

Phone

(843) 345-2168

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Ellis Hall, DHSC, PA-C

Title

Co-Owner/PA-C

Phone

(843) 345-2168

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Prestige Urgent Care Doing business as
• Paramount Urgent Care Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larissa Dub

  • Emergency Medicine Physician
  • Kissimmee, FL
  • NPI 1336436989
  NPD

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1437644325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 S GOLDENROD RD STE 5C&D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228777",
            "telephone_number": "407-810-8777",
            "fax_number": "407-658-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 S GOLDENROD RD STE 5C&D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228777",
            "telephone_number": "843-345-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH AFFILIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "CO-OWNER/PA-C",
        "authorized_official_telephone_number": "843-345-2168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHSC, PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107787700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paramount Urgent Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ryan Cha
• Jamal A Chaaban
• Ramzi Chaaban
• Lourdie Chachoute, ARNP

• Urgent Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.