Organization Active NPI

The Lou Burdette Caregiver Fund

Doing business as Lou's Place A Care Cottage

  • Adult Day Care Clinic/Center
  • Clermont, FL
National Provider Identifier
1437673381
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9365 Issued in FL
Legal business name
THE LOU BURDETTE CAREGIVER FUND
Doing business as
Lou's Place A Care Cottage
Practice address
1150 W Minneola Ave
Clermont, FL 34711-2054
Phone
(352) 708-5544
Fax
(352) 536-2511
NPI assigned
Aug 2, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mary Lou Wieloszynski
Title
President
Phone
(352) 255-7017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9365 FL Primary

Addresses

Primary practice location

1150 W Minneola Ave
Clermont, FL 34711-2054

Mailing address

1150 W Minneola Ave
Clermont, FL 34711-2054
Phone (352) 708-5544

Other names 1

  • Lou's Place A Care Cottage Doing business as

National Provider Directory

National Provider Directory

Locations

1150 W Minneola Ave
Clermont, FL 34711
Phone (352) 536-2511

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437673381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W MINNEOLA AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112054",
            "telephone_number": "352-708-5544",
            "fax_number": "352-536-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W MINNEOLA AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112054",
            "telephone_number": "352-708-5544",
            "fax_number": "352-536-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOU BURDETTE CAREGIVER FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WIELOSZYNSKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-255-7017"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lou's Place A Care Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.