Active NPI
Angelica Strade
- Adult Care Home Facility
- Ocala, FL
National Provider Identifier
1710144480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6905373
- Practice address
- 1207 SE 15TH St
Ocala, FL 34471 - Phone
- (352) 426-0023
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6905373 | FL | Primary |
Addresses
Primary practice location
1207 SE 15TH St
Ocala, FL 34471
Mailing address
1207 SE 15TH St
Ocala, FL 34471
Phone (352) 426-0023
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 678018196 | Medicaid | FL | |
| 141485200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6905373 | FL | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1710144480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 SE 15TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "34471",
"telephone_number": "352-426-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 SE 15TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "34471",
"telephone_number": "352-426-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRADE",
"first_name": "ANGELICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6905373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "678018196",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141485200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.