Organization Active NPI

Predestined 4 Purpose Inc

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1548619950
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
234231 Issued in FL
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

Updated by the provider on Jun 7, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
693730696MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & 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

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.

Verify at the official NPI Registry.