Organization Active NPI

Anheim LLC

  • Assisted Living Facility
  • Arcadia, FL
National Provider Identifier
1720716129
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANHEIM LLC
Practice address
2605 SW Baldwin Street
Arcadia, FL 34266
Phone
(863) 993-0612
NPI assigned
Aug 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Heloise Badenhorst
Title
Ceo
Phone
(407) 902-5027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2605 SW Baldwin Street
Arcadia, FL 34266

Mailing address

5005 San Marino Cir
Lake Mary, FL 32746-2611
Phone (407) 902-5027

Other names 1

  • Desoto Care-Nocatee Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1720716129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 SAN MARINO CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462611",
            "telephone_number": "407-902-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SW BALDWIN STREET",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "34266",
            "telephone_number": "863-993-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANHEIM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "BADENHORST",
        "authorized_official_first_name": "HELOISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-902-5027"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desoto Care-Nocatee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.