Organization Active NPI

Immaculee Home Care LLC

  • Assisted Living Facility
  • Orlando, FL
National Provider Identifier
1700312063
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12912 Issued in FL
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

Updated by the provider on May 5, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.