Organization Active NPI

You'Re at Home Alf, Inc.

  • Assisted Living Facility
  • Orlando, FL
National Provider Identifier
1578136602
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
YOU'RE AT HOME ALF, INC.
Practice address
901 N Hiawassee Rd
Orlando, FL 32818-6708
Phone
(407) 523-3000
Fax
(407) 523-3008
NPI assigned
Jul 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Noel Repollo
Title
President
Phone
(352) 217-7018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

901 N Hiawassee Rd
Orlando, FL 32818-6708

Mailing address

901 N Hiawassee Rd
Orlando, FL 32818-6708
Phone (407) 523-3000

Other identifiers 1

IdentifierTypeStateIssuer
111090400MedicaidFL

Other names 1

  • The Islands ALF Doing business as

National Provider Directory

National Provider Directory

Locations

901 N Hiawassee Rd
Orlando, FL 32818
Phone (407) 252-3300

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1578136602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186708",
            "telephone_number": "407-523-3000",
            "fax_number": "407-523-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186708",
            "telephone_number": "407-523-3000",
            "fax_number": "407-523-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOU'RE AT HOME ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "REPOLLO",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-217-7018"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111090400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Islands ALF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Islands ALF",
            "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 Nov 15, 2021; 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.