NPIMap

Organization Active NPI

Gedaliah Health Services LLC

  • Assisted Living Facility
  • Casselberry, FL
National Provider Identifier
1730895194
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GEDALIAH HEALTH SERVICES LLC
Practice address
78 S Winter Park Dr
Casselberry, FL 32707-4409
Phone
(954) 253-5419
Fax
(321) 733-2956
NPI assigned
Jan 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Guilene DavilmarNPI 1669994083
Title
Owner/Administrator
Phone
(954) 253-5419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

78 S Winter Park Dr
Casselberry, FL 32707-4409

Mailing address

78 S Winter Park Dr
Casselberry, FL 32707-4409
Phone (954) 253-5419

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": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1730895194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 S WINTER PARK DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074409",
            "telephone_number": "954-253-5419",
            "fax_number": "321-733-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 S WINTER PARK DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074409",
            "telephone_number": "954-253-5419",
            "fax_number": "321-733-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEDALIAH HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "DAVILMAR",
        "authorized_official_first_name": "GUILENE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-253-5419"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

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