Active NPI
Hunters Creek Almc Op Co LLC
- Assisted Living Facility
- Kissimmee, FL
National Provider Identifier
1740010040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.