NPIMap

Organization Active NPI

Alta Healthcare Group, Inc

  • Assisted Living Facility
  • Orlando, FL
National Provider Identifier
1528375698
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10515 Issued in FL
Legal business name
ALTA HEALTHCARE GROUP, INC
Doing business as
Alta Healthcare @ Deerwood
Practice address
122 N Deerwood Ave
Orlando, FL 32825-3754
Phone
(407) 435-2402
Fax
(407) 695-7720
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Albert Gree
Title
Administrator
Phone
(407) 435-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10515 FL Primary

Addresses

Primary practice location

122 N Deerwood Ave
Orlando, FL 32825-3754

Mailing address

4279 Fox Hollow Cir
Casselberry, FL 32707-5240
Phone (407) 435-2402

Other identifiers 1

IdentifierTypeStateIssuer
688818600MedicaidFL

Other names 1

  • Alta Healthcare @ Deerwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aiden Springs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1528375698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4279 FOX HOLLOW CIR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075240",
            "telephone_number": "407-435-2402",
            "fax_number": "407-695-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N DEERWOOD AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253754",
            "telephone_number": "407-435-2402",
            "fax_number": "407-695-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA HEALTHCARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "GREE",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-435-2402"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688818600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Healthcare @ Deerwood",
            "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 9, 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.