Organization Active NPI

Amaz'N Healthcare

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1497105654
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMAZ'N HEALTHCARE
Practice address
927 S Goldwyn Ave
Suite 227
Orlando, FL 32805-4324
Phone
(407) 270-4674
Fax
(407) 270-4801
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Joann Willis
Title
Owner
Phone
(407) 270-4674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

927 S Goldwyn Ave
Suite 227
Orlando, FL 32805-4324

Mailing address

2820 Lake Sunset Dr
Orlando, FL 32805-3059
Phone (407) 270-4674

Other identifiers 1

IdentifierTypeStateIssuer
692219896OtherFLMEDICAID WAIVER

National Provider Directory

National Provider Directory

Locations

927 S Goldwyn Ave
Ste 227
Orlando, FL 32805
Phone (407) 270-4674

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1497105654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 LAKE SUNSET DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053059",
            "telephone_number": "407-270-4674",
            "fax_number": "407-270-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S GOLDWYN AVE",
            "address_2": "SUITE 227",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328054324",
            "telephone_number": "407-270-4674",
            "fax_number": "407-270-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZ'N HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-270-4674"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "692219896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 20, 2016; 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.