NPIMap

Organization Active NPI

Osceola Developmental Center

  • Respite Care
  • Kissimmee, FL
National Provider Identifier
1700301678
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
OSCEOLA DEVELOPMENTAL CENTER
Practice address
229 N John Young Pkwy
Kissimmee, FL 34741-4983
Phone
(407) 350-5964
Fax
(407) 442-0737
NPI assigned
Aug 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Carlos I Rodriguez
Title
Adm
Phone
(407) 350-5964

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility (Mental Illness) 3104A0625X
Respite Care 385H00000X FL
Respite Care 385H00000X Primary
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

229 N John Young Pkwy
Kissimmee, FL 34741-4983

Mailing address

229 N John Young Pkwy
Kissimmee, FL 34741-4983
Phone (407) 350-5964

Other identifiers 1

IdentifierTypeStateIssuer
006601300MedicaidFL

National Provider Directory

National Provider Directory

Locations

229 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 350-5964

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700301678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414983",
            "telephone_number": "407-350-5964",
            "fax_number": "407-442-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414983",
            "telephone_number": "407-350-5964",
            "fax_number": "407-442-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "407-350-5964"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006601300",
            "state": "FL"
        }
    ],
    "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 Jul 21, 2022; 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.