Organization Active NPI

Impeccable Seniors Care LLC

Doing business as Impeccable seniors care

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1437665619
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IMPECCABLE SENIORS CARE LLC
Doing business as
Impeccable seniors care
Practice address
5578 N Orange Blossom TRL
Orlando, FL 32810-1033
Phone
(407) 704-8212
Fax
(407) 704-5010
NPI assigned
Dec 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Dorrie BennettNPI 1841795564
Title
Owner
Phone
(407) 704-8212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5578 N Orange Blossom TRL
Orlando, FL 32810-1033

Mailing address

5578 N Orange Blossom TRL
Orlando, FL 32810-1033
Phone (407) 704-8212

Other names 1

  • Impeccable seniors care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address impeccableseniorscare@outlook.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Impeccable Seniors Care2 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

5578 N Orange Blossom Trl
Orlando, FL 32810
Phone (407) 467-0516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1514160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1437665619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5578 N ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328101033",
            "telephone_number": "407-704-8212",
            "fax_number": "407-704-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 N ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328101033",
            "telephone_number": "407-704-8212",
            "fax_number": "407-704-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPECCABLE SENIORS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-25",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DORRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-704-8212"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "impeccableseniorscare@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5578 N Orange Blossom Trl",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328101033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Impeccable seniors care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.