Organization Active NPI

Caretenders Visiting Services of Orlando, LLC

Doing business as Mederi Caretenders

  • Home Health Agency
  • Altamonte Springs, FL
National Provider Identifier
1629232731
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARETENDERS VISITING SERVICES OF ORLANDO, LLC
Doing business as
Mederi Caretenders
Practice address
237 S Westmonte Dr
Suite 312
Altamonte Springs, FL 32714-4262
Phone
(502) 891-1000
Fax
(502) 891-8067
NPI assigned
Jul 17, 2008
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CARETENDERS VISITING SERVICES OF ORLANDO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Mr. Patrick T. Lyles
Title
Sr. V.P., Administration
Phone
(502) 891-1044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

237 S Westmonte Dr
Suite 312
Altamonte Springs, FL 32714-4262

Mailing address

9510 Ormsby Station Rd
Suite 300
Louisville, KY 40223-4081
Phone (502) 891-1000

Other names 1

  • Mederi Caretenders Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Caretenders Visiting Services of Gainesville LLC4 organizations share this tax ID, including this one
Part of
Caretenders Visiting Services of Orlando LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2020 Change of OwnershipThis provider was the seller Mederi CaretendersCCN 107422, FL, NPI 1639703218

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1629232731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-891-1000",
            "fax_number": "502-891-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 S WESTMONTE DR",
            "address_2": "SUITE 312",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144262",
            "telephone_number": "502-891-1000",
            "fax_number": "502-891-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETENDERS VISITING SERVICES OF ORLANDO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARETENDERS VISITING SERVICES OF ORLANDO, LLC",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SR. V.P., ADMINISTRATION",
        "authorized_official_telephone_number": "502-891-1044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mederi Caretenders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.