Organization Active NPI

Advanced Community Outreach Center

  • Adult Day Care Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1710753223
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ADVANCED COMMUNITY OUTREACH CENTER
Practice address
3365 W Vine St Ste 207
Kissimmee, FL 34741-4665
Phone
(407) 968-3442
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Norberto Fonseca Colon
Title
Executive Director
Phone
(407) 968-3442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

3365 W Vine St Ste 207
Kissimmee, FL 34741-4665

Mailing address

1209 E Donegan Ave
Kissimmee, FL 34744-1948
Phone (407) 968-3442

National Provider Directory

National Provider Directory

Locations

1209 E Donegan Ave
Kissimmee, FL 34744

3365 W Vine St
Ste 207
Kissimmee, FL 34741
Phone (407) 968-3442

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1710753223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E DONEGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441948",
            "telephone_number": "407-968-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 W VINE ST STE 207",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414665",
            "telephone_number": "407-968-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COMMUNITY OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "FONSECA COLON",
        "authorized_official_first_name": "NORBERTO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-968-3442"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.