Organization Active NPI

Uncle Gene's Way Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Longwood, FL
National Provider Identifier
1578345872
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
UNCLE GENE'S WAY INC
Practice address
890 E Sr 434 Ste B
Longwood, FL 32750-5307
Phone
(407) 274-5405
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Randolph Bracy III
Title
Ceo
Phone
(407) 274-5405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

890 E Sr 434 Ste B
Longwood, FL 32750-5307

Mailing address

PO Box 692286
Orlando, FL 32869-2286
Phone (407) 274-5405

National Provider Directory

National Provider Directory

Locations

890 E Sr 434
Ste B
Longwood, FL 32750
Phone (407) 274-5405

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1578345872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692286",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328692286",
            "telephone_number": "407-274-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E SR 434 STE B",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505307",
            "telephone_number": "407-274-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCLE GENE'S WAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "BRACY",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-274-5405",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.