Active NPI
Immaculee Home Care LLC
- Assisted Living Facility
- Orlando, FL
National Provider Identifier
1700312063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL12912
- Legal business name
- IMMACULEE HOME CARE LLC
- Practice address
- 5758 Oak Hill Manor Dr
Orlando, FL 32839-3750 - Phone
- (407) 496-4316
- Fax
- (407) 203-8336
- NPI assigned
- May 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Immaculee Dorville
- Title
- Owner
- Phone
- (407) 496-4316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL12912 | FL | Primary |
Addresses
Primary practice location
5758 Oak Hill Manor Dr
Orlando, FL 32839-3750
Mailing address
5758 Oak Hill Manor Dr
Orlando, FL 32839-3750
Phone (407) 496-4316
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493942400000",
"number": "1700312063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5758 OAK HILL MANOR DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328393750",
"telephone_number": "407-496-4316",
"fax_number": "407-203-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5758 OAK HILL MANOR DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328393750",
"telephone_number": "407-496-4316",
"fax_number": "407-203-8336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMACULEE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-05",
"last_updated": "2017-05-05",
"status": "A",
"authorized_official_last_name": "DORVILLE",
"authorized_official_first_name": "IMMACULEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-496-4316"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL12912",
"primary": true
}
],
"identifiers": [],
"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 May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.