Organization Active NPI

Orange Blossom Home Care Corp.

  • Respite Care
  • Wauchula, FL
National Provider Identifier
1548516057
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
AL#12043 Issued in FL
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

Updated by the provider on Aug 6, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.