Organization Active NPI

Aging Home Paradise LLC

  • Assisted Living Facility
  • Kissimmee, FL
National Provider Identifier
1659826576
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12865 Issued in FL
Legal business name
AGING HOME PARADISE LLC
Practice address
110 Zacalo Way
Kissimmee, FL 34743-9536
Phone
(407) 201-2513
NPI assigned
Aug 20, 2016
Last updated
Aug 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Authorized official

Name
Emmelyn J Capellan
Title
Ceo
Phone
(407) 201-2513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12865 FL Primary

Addresses

Primary practice location

110 Zacalo Way
Kissimmee, FL 34743-9536

Mailing address

110 Zacalo Way
Kissimmee, FL 34743-9536
Phone (407) 201-2513

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1659826576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ZACALO WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347439536",
            "telephone_number": "407-201-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ZACALO WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347439536",
            "telephone_number": "407-201-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING HOME PARADISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "CAPELLAN",
        "authorized_official_first_name": "EMMELYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-201-2513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 20, 2016; 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.