Active NPI
Predestined 4 Purpose Inc
- Home Health Agency
- Orlando, FL
National Provider Identifier
1548619950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 234231
- Legal business name
- PREDESTINED 4 PURPOSE INC
- Practice address
- 6826 Gadwall Lane
Orlando, FL 32810 - Phone
- (407) 285-1249
- Fax
- (321) 424-5886
- NPI assigned
- Jun 7, 2016
- 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
- Ms. Bobbie Cook
- Title
- Owner
- Phone
- (407) 285-1249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 234231 | FL | Primary |
Addresses
Primary practice location
6826 Gadwall Lane
Orlando, FL 32810
Mailing address
6826 Gadwall Lane
Orlando, FL 32810
Phone (407) 285-1249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 693730696 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1465257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465257600000",
"number": "1548619950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6826 GADWALL LANE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32810",
"telephone_number": "407-285-1249",
"fax_number": "321-424-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6826 GADWALL LANE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32810",
"telephone_number": "407-285-1249",
"fax_number": "321-424-5886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREDESTINED 4 PURPOSE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "BOBBIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-285-1249",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "234231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "693730696",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Precious Moments Family Living Inc.
- Precious Moments Home Care Services LLC
- Precision Chiropractic Orlando Inc.
- Precision Medicine and Wellness Center, LLC
- Precision Neurology LLC
- Predestined for Purpose
- Preferred Home Health Services, Inc.
- Preferred Injury Physicians of East Orlando Inc
- Preferred Transport Services LLC
- Susanne Geraldine Preisler, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.