Annway Assisted Living, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL5578 Issued in FL

Legal business name

ANNWAY ASSISTED LIVING, INC.

Practice address

8207 Forest City Rd
Orlando, FL 32810-2356

Phone

(407) 295-4861

Fax

(407) 297-0218

NPI assigned

Sep 22, 2007

Last updated

Jul 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Antonietta Llanes

Title

Owner

Phone

(407) 295-4861

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1669668703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 FOREST CITY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102356",
            "telephone_number": "407-295-4861",
            "fax_number": "407-297-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 FOREST CITY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102356",
            "telephone_number": "407-295-4861",
            "fax_number": "407-297-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNWAY ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-22",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "LLANES",
        "authorized_official_first_name": "ANTONIETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-295-4861",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL5578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676922500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140123800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.