NPIMap

Organization Active NPI

Latino Leadership, Inc. Dba Santiago & Friends

  • Community/Behavioral Health Agency
  • Kissimmee, FL
National Provider Identifier
1629783386
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LATINO LEADERSHIP, INC. DBA SANTIAGO & FRIENDS
Practice address
319 W Oak St
Kissimmee, FL 34741-4421
Phone
(407) 895-0801
Fax
(407) 895-0803
NPI assigned
Jan 17, 2023
Organization subpart
Yes
Parent organization
LATINO LEADERSHIP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Marucci Guzman
Title
Executive Director
Phone
(407) 895-0801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

319 W Oak St
Kissimmee, FL 34741-4421

Mailing address

8617 E Colonial Dr Ste 1600
Orlando, FL 32817-3937
Phone (407) 895-0801

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https//acct#members.login.coentralreach.com Health Information Exchange (HIE)
Direct Messaging Address info@santiagoandfrieds.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Latino Leadership Inc6 organizations share this tax ID, including this one
Part of
Latino Leadership Inc

Other organizations with this tax ID 5

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

Ownership & related parties

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": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1629783386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 E COLONIAL DR STE 1600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173937",
            "telephone_number": "407-895-0801",
            "fax_number": "407-895-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414421",
            "telephone_number": "407-895-0801",
            "fax_number": "407-895-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO LEADERSHIP, INC. DBA SANTIAGO & FRIENDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LATINO LEADERSHIP, INC.",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "MARUCCI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-895-0801"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https//acct#members.login.coentralreach.com",
            "affiliation": "N",
            "endpointDescription": "Medical Administration",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Records and Accounts",
            "address_1": "319 W Oak St",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347414421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@santiagoandfrieds.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client Correspondence",
            "address_1": "319 W Oak St",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347414421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.