Active NPI
Orange Blossom Home Care Corp.
- Respite Care
- Wauchula, FL
National Provider Identifier
1548516057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- AL#12043
- Legal business name
- ORANGE BLOSSOM HOME CARE CORP.
- Practice address
- 1230 Louisiana St
Wauchula, FL 33873-5729 - Phone
- (863) 773-6829
- Fax
- (863) 773-3587
- NPI assigned
- Aug 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Odalys Gonzalez
- Title
- Administrator
- Phone
- (863) 773-6829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | AL#12043 | FL | Primary |
Addresses
Primary practice location
1230 Louisiana St
Wauchula, FL 33873-5729
Mailing address
1230 Louisiana St
Wauchula, FL 33873-5729
Phone (863) 773-6829
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344211200000",
"number": "1548516057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 LOUISIANA ST",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338735729",
"telephone_number": "863-773-6829",
"fax_number": "863-773-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 LOUISIANA ST",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338735729",
"telephone_number": "863-773-6829",
"fax_number": "863-773-3587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE BLOSSOM HOME CARE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-06",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "ODALYS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "863-773-6829"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "FL",
"license": "AL#12043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauchula, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.