Emilia'S Direct Care Agency

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

EMILIA'S DIRECT CARE AGENCY

Practice address

3218 E Colonial Dr RM 118
Orlando, FL 32803

Phone

(407) 779-6708

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Julie TibaudNPI 1710418322

Title

Owner

Phone

(407) 779-6708

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Tibaud

  • Developmental Disabilities Clinic/Center
  • Orlando, FL
  • NPI 1710418322
  NPD (past) Authorized official

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710404249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 E COLONIAL DR RM 118",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035179",
            "telephone_number": "407-779-6708",
            "fax_number": "407-605-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 E COLONIAL DR RM 118",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "407-779-6708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Curry Ford Road B8",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328063280",
            "country_code": "US",
            "telephone_number": "407-779-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMILIA'S DIRECT CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TIBAUD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-779-6708"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020485500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Marie Emery, APRN
• David Emery
• Lorrie Emig
• Ezla Emile
• Vicky Emile, PA-C
• Emily'S Care LLC
• Emindful, LLC
• Emmanuel Coach Service
• Gerry F. Emmanuel, M.D.
• Mickey Emmanuel, MD

• Developmental Disabilities Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• 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.