Enchanted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12612 Issued in FL

Legal business name

ENCHANTED LIVING FACILITY

Practice address

6224 Bolling Dr
Orlando, FL 32808-6010

Phone

(407) 230-3569

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Ella L Dickens

Title

Owner

Phone

(407) 230-3569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1710370481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 BOLLING DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328086010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 BOLLING DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328086010",
            "telephone_number": "407-230-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-230-3569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciera Enberg
• Ashley Janine Encarnacion, PT, DPT
• Melanie Encarnacion
• Nicole Encarnacion, MSW
• Yaine Encarnacion, FNP
• Ingrid Charlotte Encinas, PMHNP
• Rodrigo Encinas, MD
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• Encore Health, LLC

• Assisted Living Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.