NPIMap

Organization Active NPI

Bridge Builders Aoaf Central

  • Case Management Agency
  • Orlando, FL
National Provider Identifier
1649692112
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
25B00000X Issued in FL
Legal business name
BRIDGE BUILDERS AOAF CENTRAL
Practice address
6873 W Colonial Dr
Orlando, FL 32818-6827
Phone
(407) 296-0002
Fax
(407) 295-2008
NPI assigned
Jan 17, 2014
Last updated
Jan 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Deloris Williams Battle
Title
Owner
Phone
(407) 296-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 25B00000X FL Primary

Addresses

Primary practice location

6873 W Colonial Dr
Orlando, FL 32818-6827

Mailing address

6873 W. Colonial Dr..
Orlando, FL 32818
Phone (407) 296-0002

Other identifiers 1

IdentifierTypeStateIssuer
676829696MedicaidFL

National Provider Directory

National Provider Directory

Locations

6873 W Colonial Dr
Orlando, FL 32818
Phone (407) 296-0002

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1649692112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6873 W. COLONIAL DR..",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32818",
            "telephone_number": "407-296-0002",
            "fax_number": "407-295-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6873 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186827",
            "telephone_number": "407-296-0002",
            "fax_number": "407-295-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE BUILDERS AOAF CENTRAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "DELORIS",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-296-0002"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "25B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676829696",
            "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 Jan 17, 2014; 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.