NPIMap

Organization Active NPI

Heavenly Choice Adult Group Home

  • Lodging Provider
  • Haines City, FL
National Provider Identifier
1487973624
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
License
6906270 Issued in FL
Legal business name
HEAVENLY CHOICE ADULT GROUP HOME
Practice address
5500 Watkins Rd
Haines City, FL 33844-6254
Phone
(407) 923-5677
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Mrs. Julia MorameNPI 1437402021
Title
Director
Phone
(407) 923-5677

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
Lodging ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 177F00000X 6906270 FL Primary

Addresses

Primary practice location

5500 Watkins Rd
Haines City, FL 33844-6254

Mailing address

5500 Watkins Rd
Haines City, FL 33844-6254
Phone (407) 923-5677

National Provider Directory

National Provider Directory
Tax ID family
Heavenly Choice Adult Group Home2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1487973624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 WATKINS RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446254",
            "telephone_number": "407-923-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 WATKINS RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446254",
            "telephone_number": "407-923-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY CHOICE ADULT GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "MORAME",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-923-5677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lodging",
            "state": "FL",
            "license": "6906270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.