Hodge'S Group Home, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HODGE'S GROUP HOME, INC

Practice address

4001 Kaluga Park St
Orlando, FL 32808-7473

Phone

(407) 496-7356

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Deborah Hodge

Title

President

Phone

(407) 496-7356

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1477922417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KALUGA PARK ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KALUGA PARK ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087473",
            "telephone_number": "407-496-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGE'S GROUP HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-496-7356"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684197001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loren Nicole Hocker
• Melisa Shannon Hockett, O.D.
• Charles W Hodge, M.D.
• Deborah Hodge
• Debra Leona Hodge
• Albert Payton Hodges Jr., DDS
• Ansley C. Hodges, BCBA
• Kayli Hodges
• Maggie Hodges, PT, DPT
• Marraco Anderson Hodges

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.