Organization Active NPI

Hunters Creek Almc Op Co LLC

  • Assisted Living Facility
  • Kissimmee, FL
National Provider Identifier
1740010040
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HUNTERS CREEK ALMC OP CO LLC
Practice address
1701 Ball Park Rd
Kissimmee, FL 34741-1135
Phone
(407) 900-2840
Fax
(407) 870-0288
NPI assigned
Aug 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Mrs. Shirah Rios
Title
Executive Director
Phone
(407) 900-2840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1701 Ball Park Rd
Kissimmee, FL 34741-1135

Mailing address

1701 Ball Park Rd
Kissimmee, FL 34741-1135
Phone (407) 900-2840

Other names 1

  • Providence Living at Hunters Creek Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1740010040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BALL PARK RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347411135",
            "telephone_number": "407-900-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BALL PARK RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347411135",
            "telephone_number": "407-900-2840",
            "fax_number": "407-870-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERS CREEK ALMC OP CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "SHIRAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-900-2840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Living at Hunters Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 2, 2024; 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.